| Maple Valley Vision Clinic Pllc | |
| 
					23714 222nd Pl Se Ste B, Maple Valley, WA 98038  | |
| (425) 432-1206 | |
| (425) 413-4465 | 
| Full Name | Maple Valley Vision Clinic Pllc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 23714 222nd Pl Se Ste B, 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 | 
|---|---|---|---|
| 1558475558 | NPI | - | NPPES | 
| 2032050 | Medicaid | WA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | WA1115TX (Washington) | Primary | 
| Provider Name | Scott W Bennion | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1780656660 PECOS PAC ID: 0840294575 Enrollment ID: I20060911000569  | 
| Provider Name | Ryan S Bennion | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1235154956 PECOS PAC ID: 8729083613 Enrollment ID: I20060927000603  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maple Valley Vision Clinic Pllc 23714 222nd Pl Se Ste B, Maple Valley, WA 98038-5800 Ph: (425) 432-1206  | Maple Valley Vision Clinic Pllc 23714 222nd Pl Se Ste B, Maple Valley, WA 98038 Ph: (425) 432-1206  | 
Maple Valley Eye Care Center Ps Optometrist Medicare: Medicare Enrolled Practice Location: 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-413-8787 Fax: 425-413-4012  | |
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  | |
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  |