| Kornmesser Optometry Clinic Inc Ps | |
|
1405 Harrison Ave Nw Ste 101, Olympia, WA 98502-5327 | |
| (360) 357-5549 | |
| (360) 786-9797 |
| Full Name | Kornmesser Optometry Clinic Inc Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1405 Harrison Ave Nw Ste 101, Olympia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205961836 | NPI | - | NPPES |
| 2495208 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Washington) | Primary |
| Provider Name | James H Grimes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104818814 PECOS PAC ID: 9335323484 Enrollment ID: I20110413001058 |
| Provider Name | Joseph J T Renaud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952926636 PECOS PAC ID: 9739506213 Enrollment ID: I20200824001002 |
| Mailing Address | Practice Location Address |
|---|---|
| Kornmesser Optometry Clinic Inc Ps 1405 Harrison Ave Nw Ste 101, Olympia, WA 98502-5327 Ph: (360) 357-5549 | Kornmesser Optometry Clinic Inc Ps 1405 Harrison Ave Nw Ste 101, Olympia, WA 98502-5327 Ph: (360) 357-5549 |
Dr. Jacquelin Escoto Benitez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-4333 Fax: 360-456-3894 | |
Dr. Jay Woodworth Nelson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 Black Lake Blvd Sw, Olympia, WA 98502 Phone: 360-943-2334 Fax: 360-943-2879 | |
Dr. James H. Grimes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1405 Harrison Ave Nw, Ste. 101, Olympia, WA 98502 Phone: 360-357-5548 Fax: 360-786-9797 | |
Dr. Kimberly A Carr-yeates, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1510 Cooper Point Rd Sw, Ste 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Dr. Joseph Beaushaw, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 Black Lake Blvd Sw, Olympia, WA 98502 Phone: 360-943-2334 | |
Brian W Sullivan, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-456-4800 Fax: 360-456-4812 | |
Olympia Eye Clinic Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-456-4800 Fax: 360-456-4812 |