| Dr Kelly Michele Padgett, OD | |
|
1805 Cooks Hill Rd, Centralia, WA 98531-9072 | |
| (360) 736-4447 | |
| (360) 807-0324 |
| Full Name | Dr Kelly Michele Padgett |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1805 Cooks Hill Rd, Centralia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487933610 | NPI | - | NPPES |
| 2015400 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 60236154 (Washington) | Primary |
| Provider Name | St. Croix Vision Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669698387 PECOS PAC ID: 9931349214 Enrollment ID: O20130710000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Michele Padgett, OD 1805 Cooks Hill Rd, Centralia, WA 98531-9072 Ph: (360) 736-4447 | Dr Kelly Michele Padgett, OD 1805 Cooks Hill Rd, Centralia, WA 98531-9072 Ph: (360) 736-4447 |
Curtis D. Burghart, Od, Ps Optometrist Medicare: Medicare Enrolled Practice Location: 1203 S Gold St, Centralia, WA 98531 Phone: 360-736-4203 Fax: 360-736-7059 | |
Lewis County Vision Source Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1805 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-4447 Fax: 360-807-0324 | |
Innovations In Eyecare Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1125 Mellen St, Centralia, WA 98531 Phone: 360-736-7385 Fax: 360-736-8568 | |
Dr. Joseph L. Dolezal, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1125 Mellen St, Centralia, WA 98531 Phone: 360-736-7385 Fax: 360-736-8568 | |
Dr. Curtis Dean Burghart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1203 S Gold St, Centralia, WA 98531 Phone: 360-736-4203 Fax: 360-736-7059 |