| Maple Valley Eye Care Center Ps | |
|
26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8347 | |
| (425) 413-8787 | |
| (425) 413-4012 |
| Full Name | Maple Valley Eye Care Center Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 26615 Maple Valley Black Diamond Rd Se, Maple Valley, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124224217 | NPI | - | NPPES |
| 2022853 | Medicaid | WA | |
| 1376632539 | Other | WA | INDIVIDUAL NPI FOR R NEAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3489TX (Washington) | Primary |
| Provider Name | Robert K Neal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376632539 PECOS PAC ID: 4587653563 Enrollment ID: I20040507000115 |
| Provider Name | Brandon Morris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912492430 PECOS PAC ID: 2466783345 Enrollment ID: I20191007003201 |
| Provider Name | Jerianne Montgomery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164844734 PECOS PAC ID: 4486985389 Enrollment ID: I20191008000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Valley Eye Care Center Ps 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8347 Ph: (425) 413-8787 | Maple Valley Eye Care Center Ps 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8347 Ph: (425) 413-8787 |
Dr. Jerianne Montgomery, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-413-8787 | |
Dr. Ryan Scott Bennion, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23714 222nd Pl Se Ste B, Maple Valley, WA 98038 Phone: 425-432-1206 Fax: 425-413-4465 | |
Robert Keil Neal, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-413-8787 Fax: 425-413-4012 | |
Rebecca Jeanne Velasco Anderson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-413-8787 Fax: 425-413-4012 | |
Maple Valley Vision Clinic Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 23714 222nd Pl Se Ste B, Maple Valley, WA 98038 Phone: 425-432-1206 Fax: 425-413-4465 | |
Scott W Bennion, OD Optometrist Medicare: Medicare Enrolled Practice Location: 23714 222nd Pl Se Ste B, Maple Valley, WA 98038 Phone: 425-432-1206 Fax: 425-413-4465 |