| Mr Richard J Eggleston, MD | |
|
500 Port Dr, Clarkston, WA 99403-1835 | |
| (509) 758-8811 | |
| (509) 751-1188 |
| Full Name | Mr Richard J Eggleston |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 500 Port Dr, Clarkston, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821088147 | NPI | - | NPPES |
| 000010145028 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
| BYHC7 | Other | ID | BLUE CROSS OF IDAHO |
| 000010002377 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
| 20031 | Other | MEDICAL EYE SERVICE | |
| MSIWAE400 | Other | WA | MOLINA HEALTHCARE |
| 33878 | Other | ID | BLUE CROSS OF IDAHO |
| 00010002377 | Other | FEDERAL BLUE CROSS | |
| 8927760 | Other | WA | CRIME VICTIMS COMPENSATION ACT |
| 123142 | Other | WA | LABOR & INDUSTRY |
| 12943 | Other | WA | GROUP HEALTH COOPERATIVE |
| 15192 | Other | ID | LABOR & INDUSTRY |
| 003681500 | Medicaid | ID | |
| 1051481 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD00014109 (Washington) | Primary |
| 207W00000X | Ophthalmology | M3387 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard J Eggleston, MD 500 Port Dr, Clarkston, WA 99403-1835 Ph: (509) 758-8811 | Mr Richard J Eggleston, MD 500 Port Dr, Clarkston, WA 99403-1835 Ph: (509) 758-8811 |
Mark T Eggleston, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 Port Drive, Clarkston, WA 99403 Phone: 509-758-8811 Fax: 509-751-1188 | |
Chad Ryan Bouterse, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 Port Dr, Clarkston, WA 99403 Phone: 509-758-8811 Fax: 509-751-1188 |