| Nicholas Castagna, OD | |
| 
					26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8347  | |
| (425) 413-8787 | |
| Not Available | 
| Full Name | Nicholas Castagna | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 26615 Maple Valley Black Diamond Rd Se, Maple Valley, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841910270 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OD61338911 (Washington) | Primary | 
| Provider Name | San Juans Vision Care P.s. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1932227154 PECOS PAC ID: 9638249154 Enrollment ID: O20080610000084  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicholas Castagna, OD 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8347 Ph: (425) 413-8787  | Nicholas Castagna, OD 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8347 Ph: (425) 413-8787  | 
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  | |
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  |