Dr William A Pellow X, OD is a
Optometrist based in Republic, Washington. Dr William A Pellow X is licensed to practice in Washington (license number 1669TX) and his current practice location is
90 N Clark Ave, Unit 3, Republic, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 775-3800.
NPI number for Dr William A Pellow X is 1508964180 and his current mailing address is Po Box 409, Republic, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508964180.
Healthcare Provider's Profile
| Full Name | Dr William A Pellow X |
|---|
| Gender | Male |
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| Speciality | Optometrist |
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| Location | 90 N Clark Ave, Republic, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508964180
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 10/02/2012
Medical Identifiers
Medical identifiers for Dr William A Pellow X such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508964180 | NPI | - | NPPES |
| 2001386 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1669TX (Washington) | 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. Dr William A Pellow X 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 |
|---|
Dr William A Pellow X, OD
Po Box 409,
Republic, WA 99166-0409
Ph: (509) 775-3800 | Dr William A Pellow X, OD
90 N Clark Ave, Unit 3,
Republic, WA 99166-5024
Ph: (509) 775-3800 |
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