| Mower Vision Source, Pllc | |
|
1 Jim Clements Way, Selah, WA 98942-1437 | |
| (509) 697-2020 | |
| Not Available |
| Full Name | Mower Vision Source, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1 Jim Clements Way, Selah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033517149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD60367942 (Washington) | Primary |
| Provider Name | Royce K Barney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487918918 PECOS PAC ID: 7416107198 Enrollment ID: I20121016000400 |
| Provider Name | Brett W Mower |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689010811 PECOS PAC ID: 9133369606 Enrollment ID: I20130703000463 |
| Provider Name | Jonathan Wayne Mcmullin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205391745 PECOS PAC ID: 3476963059 Enrollment ID: I20201110003116 |
| Mailing Address | Practice Location Address |
|---|---|
| Mower Vision Source, Pllc Po Box 294, Selah, WA 98942-0294 Ph: (509) 697-2020 | Mower Vision Source, Pllc 1 Jim Clements Way, Selah, WA 98942-1437 Ph: (509) 697-2020 |
Dr. Angela Naseri, OD Optometrist Medicare: Medicare Enrolled Practice Location: 320 Jim Clements Way, Selah, WA 98942 Phone: 503-352-2020 | |
Dr. Aaron D Qunell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 W Orchard Ave, Selah, WA 98942 Phone: 509-697-6177 Fax: 509-697-6659 | |
Selah Vision Source, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 W Orchard Ave, Selah, WA 98942 Phone: 509-697-6177 Fax: 509-697-6659 | |
Dr. Brett Mower, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 W Orchard Ave, Selah, WA 98942 Phone: 509-697-2020 Fax: 509-697-6659 | |
Dr. Dale K. Graf, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 W Orchard Ave, Selah, WA 98942 Phone: 509-697-6177 Fax: 509-697-6659 |