| Dr Russell Steven Lake, OD | |
|
375 Highline Dr, East Wenatchee, WA 98802-5344 | |
| (509) 886-0924 | |
| Not Available |
| Full Name | Dr Russell Steven Lake |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 6 Years |
| Location | 375 Highline Dr, East Wenatchee, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720603392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 61042825 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Eye And Vision Clinic , Pllc | 7719313790 | 4 |
| Provider Name | Valley Eye And Vision Clinic , Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881236909 PECOS PAC ID: 7719313790 Enrollment ID: O20200211001992 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell Steven Lake, OD 375 Highline Dr, East Wenatchee, WA 98802-5344 Ph: (509) 886-0924 | Dr Russell Steven Lake, OD 375 Highline Dr, East Wenatchee, WA 98802-5344 Ph: (509) 886-0924 |
Valley Eye And Vision Clinic , Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 Eastmont Ave, East Wenatchee, WA 98802 Phone: 509-766-1880 Fax: 509-766-1577 | |
Dr. Amanda Joy Donabauer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1411 N Aurora Ave, East Wenatchee, WA 98802 Phone: 509-421-9376 | |
Vision Menagerie Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 Eastmont Ave, East Wenatchee, WA 98802 Phone: 509-884-9595 Fax: 509-884-0218 | |
Dorthea K Huber, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 375 Highline Dr, East Wenatchee, WA 98802 Phone: 509-886-0924 |