| Enumclaw Family Optometry Clinic Ps | |
|
2726 Griffin Ave, Ste B, Enumclaw, WA 98022-2362 | |
| (360) 825-3000 | |
| (360) 825-8408 |
| Full Name | Enumclaw Family Optometry Clinic Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2726 Griffin Ave, Enumclaw, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841232121 | NPI | - | NPPES |
| SH2147 | Other | WA | REGENCE |
| 1020256 | Medicaid | WA | |
| 2016699 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1619 (Washington) | Primary |
| Provider Name | Paul Shepherd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093918013 PECOS PAC ID: 6305985862 Enrollment ID: I20091123000658 |
| Provider Name | Alexander Shepherd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649644576 PECOS PAC ID: 5395046940 Enrollment ID: I20151223001824 |
| Provider Name | Sarah Humrick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710442884 PECOS PAC ID: 6709112295 Enrollment ID: I20240708002487 |
| Mailing Address | Practice Location Address |
|---|---|
| Enumclaw Family Optometry Clinic Ps 2726 Griffin Ave, Ste B, Enumclaw, WA 98022-2362 Ph: (360) 825-3000 | Enumclaw Family Optometry Clinic Ps 2726 Griffin Ave, Ste B, Enumclaw, WA 98022-2362 Ph: (360) 825-3000 |
Enumclaw Vision Clinic Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2823 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-1614 Fax: 360-825-8034 | |
Paul Shepherd, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2726 Griffin Ave Ste B, Enumclaw, WA 98022 Phone: 360-825-3000 Fax: 360-825-8408 | |
Alexander Shepherd, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2726 Griffin Ave Ste B, Enumclaw, WA 98022 Phone: 360-825-3000 Fax: 360-825-8408 | |
Mark A Seaburg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2823 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-1614 Fax: 360-825-8034 | |
Evergreen Eye Center, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2820 Griffin Ave Ste 101, Enumclaw, WA 98022 Phone: 360-802-4549 Fax: 360-825-8354 |