| Mednic Pc | |
|
912 Main St, Vancouver, WA 98660-3136 | |
| (360) 694-6541 | |
| (360) 696-2578 |
| Full Name | Mednic Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 912 Main St, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831308790 | NPI | - | NPPES |
| 2023141 | Medicaid | WA | |
| 2023133 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD00001808 (Washington) | Secondary |
| 152W00000X | Optometrist | OD00001999 (Washington) | Primary |
| Provider Name | Robert A Nicacio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841239720 PECOS PAC ID: 6002809217 Enrollment ID: I20040405000991 |
| Provider Name | Linda R Medeski-nicacio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053358861 PECOS PAC ID: 2668465592 Enrollment ID: I20100609000028 |
| Provider Name | Christy L Alfano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326662115 PECOS PAC ID: 8820493554 Enrollment ID: I20221031001974 |
| Mailing Address | Practice Location Address |
|---|---|
| Mednic Pc 912 Main St, Vancouver, WA 98660-3136 Ph: (360) 694-6541 | Mednic Pc 912 Main St, Vancouver, WA 98660-3136 Ph: (360) 694-6541 |
Dr. Marvin Arnold Helde, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12607 Se Mill Plain Blvd, Kaiser Permanente Cascade Park Medical Facility, Vancouver, WA 98684 Phone: 360-896-4456 | |
Advanced Eye Care Center, P.s. Optometrist Medicare: Medicare Enrolled Practice Location: 2100 Se 164th Ave, Suite D104, Vancouver, WA 98683 Phone: 360-256-0203 | |
John E Thompson, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14901 Nw 25th Ave, Vancouver, WA 98685 Phone: 360-573-7564 | |
Clearly Lasik Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1325 Se Tech Center Dr, Suite 110, Vancouver, WA 98683 Phone: 360-635-5000 Fax: 360-635-5001 | |
Andrea Morton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 314 E Mcloughlin Blvd, Vancouver, WA 98663 Phone: 360-694-8303 Fax: 360-694-9032 | |
Dr. Alexander S Choy, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St Ste 280, Vancouver, WA 98686 Phone: 360-882-2778 Fax: 360-604-1780 | |
Mrs. Linda R Medeski-nicacio, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 912 Main St, Vancouver, WA 98660 Phone: 360-694-6541 Fax: 360-696-2578 |