| Mill Creek Eye And Contact Lens Clinic, Inc. | |
|
15808 Mill Creek Blvd, Suite #110, Mill Creek, WA 98012-1500 | |
| (425) 745-5650 | |
| (425) 337-1342 |
| Full Name | Mill Creek Eye And Contact Lens Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15808 Mill Creek Blvd, Mill Creek, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194094490 | NPI | - | NPPES |
| 2011344 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1409 (Washington) | Primary |
| Provider Name | Zdravka Z Gueorguieva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124095955 PECOS PAC ID: 7416962295 Enrollment ID: I20060215000550 |
| Provider Name | Fred M Arima |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568441350 PECOS PAC ID: 2961661921 Enrollment ID: I20120309000655 |
| Provider Name | Kurt R Russell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710100532 PECOS PAC ID: 8426294281 Enrollment ID: I20130423000444 |
| Provider Name | Meimey T Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134484330 PECOS PAC ID: 4789825514 Enrollment ID: I20130720000316 |
| Provider Name | Jonathan Alan Jenness |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356897284 PECOS PAC ID: 1850659533 Enrollment ID: I20211202001903 |
| Provider Name | Eui-hyun Curi Shin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619228731 PECOS PAC ID: 6103188297 Enrollment ID: I20221013003468 |
| Provider Name | Dion Richard Di Blasi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538807631 PECOS PAC ID: 5799144994 Enrollment ID: I20230706002407 |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Creek Eye And Contact Lens Clinic, Inc. 15808 Mill Creek Blvd, Suite #110, Mill Creek, WA 98012-1500 Ph: (425) 745-5650 | Mill Creek Eye And Contact Lens Clinic, Inc. 15808 Mill Creek Blvd, Suite #110, Mill Creek, WA 98012-1500 Ph: (425) 745-5650 |
Sarah Youssef Makari, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14607 Main Street, Apartment A208, Mill Creek, WA 98012 Phone: 206-295-3989 | |
Dr. Tracy Voegeli, OD Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy, Suite 103, Mill Creek, WA 98012 Phone: 425-481-4440 Fax: 425-481-4450 | |
Riley Forbes, OD Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012 Phone: 425-481-4440 | |
Genna Lo, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012 Phone: 425-481-4440 Fax: 425-481-4450 | |
Milda Bandza, Optometrist Medicare: Medicare Enrolled Practice Location: 16300 Mill Creek Blvd Ste 118, Mill Creek, WA 98012 Phone: 425-742-2900 Fax: 425-745-0740 | |
Michael Scott Wagner, OD Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012 Phone: 425-481-4440 |