Colonial Optical Llc is a
Eyewear Supplier based in Kirkland, Washington. Colonial Optical Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
12911 120th Ave Ne, Suite C-80, Kirkland, Washington. It can be reached at their office (for appointments etc.) via phone at
(425) 821-1820.
NPI number for Colonial Optical Llc is 1659555860 and their current mailing address is 12911 120th Ave Ne, Suite C-80, Kirkland, Washington. Colonial Optical Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659555860.
Healthcare Provider's Profile
| Full Name | Colonial Optical Llc |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 12911 120th Ave Ne, Kirkland, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659555860
- Provider Enumeration Date: 12/24/2007
- Last Update Date: 04/23/2009
Medical Identifiers
Medical identifiers for Colonial Optical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659555860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OD00003740 (Washington) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colonial Optical Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Colonial Optical Llc
12911 120th Ave Ne, Suite C-80,
Kirkland, WA 98034-3027
Ph: (425) 821-1820 | Colonial Optical Llc
12911 120th Ave Ne, Suite C-80,
Kirkland, WA 98034-3027
Ph: (425) 821-1820 |
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