| Lynden Vision Clinic, Ps | |
|
201 S 19th St, Lynden, WA 98264-1725 | |
| (360) 354-2222 | |
| (360) 354-0737 |
| Full Name | Lynden Vision Clinic, Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 201 S 19th St, Lynden, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427268754 | NPI | - | NPPES |
| 2022291 | Medicaid | WA | |
| G8851039 | Other | WA | MEDICARE ID-PIN |
| 0078163 | Other | WA | LABOR & INDUSTRIES |
| 8403LY | Other | WA | REGENCE BLUE SHIELD |
| DC7970 | Other | WA | RAILROAD MEDICARE-PALMETT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3271TX (Washington) | Primary |
| Provider Name | Mira B Swiecicki |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689639023 PECOS PAC ID: 6507817970 Enrollment ID: I20050203000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynden Vision Clinic, Ps 201 S 19th St, Lynden, WA 98264-1725 Ph: (360) 354-2222 | Lynden Vision Clinic, Ps 201 S 19th St, Lynden, WA 98264-1725 Ph: (360) 354-2222 |
Vision Plus In Lynden Optometrist Medicare: Medicare Enrolled Practice Location: 1824 Front St, Suite B, Lynden, WA 98264 Phone: 360-933-1815 Fax: 360-933-4617 | |
John Mcgiffin, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1824 Front St, Suite B, Lynden, WA 98264 Phone: 360-933-1815 Fax: 360-933-4617 | |
Dr. Mira B Swiecicki, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 S 19th St, Lynden, WA 98264 Phone: 360-354-2222 Fax: 360-354-0737 |