| Erick Johnson, OD | |
|
2201 W Dolarway Rd Ste 2, Ellensburg, WA 98926-8228 | |
| (509) 925-1000 | |
| (509) 925-2474 |
| Full Name | Erick Johnson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2201 W Dolarway Rd Ste 2, Ellensburg, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902104003 | NPI | - | NPPES |
| 2044049 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 390200000X (Tennessee) | Primary |
| Provider Name | Valley Vision Associates Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710021944 PECOS PAC ID: 8729187893 Enrollment ID: O20070702000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Erick Johnson, OD 2201 W Dolarway Rd Ste 2, Ellensburg, WA 98926-8228 Ph: (509) 925-1000 | Erick Johnson, OD 2201 W Dolarway Rd Ste 2, Ellensburg, WA 98926-8228 Ph: (509) 925-1000 |
Jackelyn Theresa Meyer, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2201 W Dolarway Rd Ste 2, Ellensburg, WA 98926 Phone: 509-925-1000 Fax: 509-925-2474 | |
Casey Oltman, Optometrist Medicare: Medicare Enrolled Practice Location: 2201 W Dolarway Rd, Ellensburg, WA 98926 Phone: 509-925-1000 | |
The Eye Clinic Of Kittitas County Optometrist Medicare: Medicare Enrolled Practice Location: 301 E 2nd Ave, Ellensburg, WA 98926 Phone: 509-925-9873 Fax: 509-962-1639 | |
Dr. William R. Meyer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 N Pine St, Ellensburg, WA 98926 Phone: 509-925-1000 Fax: 509-925-2474 | |
Ellensburg Vision Clinic, Ps, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 E 2nd Ave, Ellensburg, WA 98926 Phone: 509-925-9873 Fax: 509-962-1639 | |
Ellensburg Eye And Contact Lens Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 N Pine St, Ellensburg, WA 98926 Phone: 509-925-1000 Fax: 509-925-2474 | |
Dr. Byron Eugene Thomas, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 E 2nd Ave, Ellensburg, WA 98926 Phone: 509-925-9873 Fax: 509-962-1639 |