| Pasco Vision Clinic, P.s. | |
|
2715 W Court St, Pasco, WA 99301-3911 | |
| (509) 547-8409 | |
| (509) 547-3751 |
| Full Name | Pasco Vision Clinic, P.s. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2715 W Court St, Pasco, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104851690 | NPI | - | NPPES |
| 1265729354 | Medicaid | WA | |
| CK6046 | Other | WA | RAILROAD MEDICARE |
| 0056740 | Other | WA | DEPT OF LABOR & INDUSTRY |
| 1568661924 | Medicaid | WA | |
| 1104851690 | Medicaid | WA | |
| 2300028 | Medicaid | WA | |
| 1992802656 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 38 (Washington) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | James C Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992802656 PECOS PAC ID: 6002907243 Enrollment ID: I20070802000334 |
| Provider Name | Adam D Good |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568661924 PECOS PAC ID: 3678667201 Enrollment ID: I20070913000426 |
| Provider Name | William E Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265729354 PECOS PAC ID: 9032360805 Enrollment ID: I20121105000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Pasco Vision Clinic, P.s. 2715 W Court St, Pasco, WA 99301-3911 Ph: (509) 547-8409 | Pasco Vision Clinic, P.s. 2715 W Court St, Pasco, WA 99301-3911 Ph: (509) 547-8409 |
James C Lewis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 | |
West Pasco Eye Care P.s. Optometrist Medicare: Medicare Enrolled Practice Location: 7001 Burden Blvd, Pasco, WA 99301 Phone: 509-543-9898 Fax: 509-380-5747 | |
Dr. Lorin B Park, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4820 N Road 68, Pasco, WA 99301 Phone: 509-543-7953 Fax: 509-543-7955 | |
Dr L Brendt Park Inc Optometrist Medicare: Medicare Enrolled Practice Location: 4820 N Road 68, Pasco, WA 99301 Phone: 509-543-7953 Fax: 509-543-7955 | |
Dr. Kelly James Cochrane, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9825 Sandifur Pkwy, Suite B, Pasco, WA 99301 Phone: 509-547-6998 Fax: 509-547-6966 | |
Mark A Michael, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4403 W Court St, Suite J, Pasco, WA 99301 Phone: 509-547-9695 Fax: 509-547-5017 |