| 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: Medicare Enrolled 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: Accepting 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: Accepting Medicare Assignments Practice Location: 23714 222nd Pl Se Ste B, Maple Valley, WA 98038 Phone: 425-432-1206 Fax: 425-413-4465  |