| Pacific Eye Care Of Poulsbo Ps | |
|
20669 Bond Rd Ne, Ste 100, Poulsbo, WA 98370-6525 | |
| (360) 779-2020 | |
| (360) 779-3093 |
| Full Name | Pacific Eye Care Of Poulsbo Ps |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 20669 Bond Rd Ne, Poulsbo, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205825262 | NPI | - | NPPES |
| 2018968 | Medicaid | WA | |
| 7074982 | Medicaid | WA | |
| G115140600 | Other | WA | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Washington) | Secondary |
| 207W00000X | Ophthalmology | MD00029555 (Washington) | Primary |
| Provider Name | Lindsey K Sewell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114079928 PECOS PAC ID: 5698856276 Enrollment ID: I20080122000197 |
| Provider Name | James Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821085846 PECOS PAC ID: 3577600014 Enrollment ID: I20100421000380 |
| Provider Name | Andrew G Noble |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083963482 PECOS PAC ID: 6608027479 Enrollment ID: I20121105000314 |
| Provider Name | Lindsay M Hendricks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285980623 PECOS PAC ID: 3870736572 Enrollment ID: I20130828000524 |
| Provider Name | Dennis E Ottemiller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649271487 PECOS PAC ID: 3274520127 Enrollment ID: I20191021003062 |
| Provider Name | Connor David Nathe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770044752 PECOS PAC ID: 2668707514 Enrollment ID: I20230629000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Eye Care Of Poulsbo Ps 20669 Bond Rd Ne, Ste 100, Poulsbo, WA 98370-6525 Ph: (360) 779-2020 | Pacific Eye Care Of Poulsbo Ps 20669 Bond Rd Ne, Ste 100, Poulsbo, WA 98370-6525 Ph: (360) 779-2020 |