| Kitsap Eyecare Centers Inc Ps | |
|
19220 8th Ave Ne, Suite A, Poulsbo, WA 98370-8773 | |
| (360) 779-2336 | |
| (360) 779-7628 |
| Full Name | Kitsap Eyecare Centers Inc Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 19220 8th Ave 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 |
|---|---|---|---|
| 1477612463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 601379904 (Washington) | Primary |
| Provider Name | Ray Hedahl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053420851 PECOS PAC ID: 1355485186 Enrollment ID: I20100217000801 |
| Provider Name | Mariann Tonder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376652198 PECOS PAC ID: 6709920457 Enrollment ID: I20100218000131 |
| Provider Name | Diana Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801864756 PECOS PAC ID: 8729277868 Enrollment ID: I20120125000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Eyecare Centers Inc Ps 19220 8th Ave Ne Ste A, Poulsbo, WA 98370-8773 Ph: (360) 779-2336 | Kitsap Eyecare Centers Inc Ps 19220 8th Ave Ne, Suite A, Poulsbo, WA 98370-8773 Ph: (360) 779-2336 |
Dr. Ray George Hedahl, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19220 8th Ave Ne Ste A, Poulsbo, WA 98370 Phone: 360-779-2336 Fax: 360-779-7628 | |
Dr. Andrew Glen Noble, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20669 Bond Rd Ne, Ste 100, Poulsbo, WA 98370 Phone: 360-626-5220 Fax: 360-779-3093 | |
Pacific Eyecare Of Poulsbo Ps Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20669 Bond Rd Ne Ste 100, Poulsbo, WA 98370 Phone: 360-779-2020 Fax: 360-779-3093 | |
Pacific Eye Care Of Poulsbo Ps Optometrist Medicare: Medicare Enrolled Practice Location: 20669 Bond Rd Ne, Ste 100, Poulsbo, WA 98370 Phone: 360-779-2020 Fax: 360-779-3093 | |
Dr. Jon Arne Selbyg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21200 Olhava Way Nw, Poulsbo, WA 98370 Phone: 360-697-2513 | |
Lindsay Marie Hendricks, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20669 Bond Rd Ne, Ste 100, Poulsbo, WA 98370 Phone: 360-779-2020 Fax: 360-779-3093 | |
Dr. Mariann Jean Tonder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19220 8th Ave Ne Ste A, Poulsbo, WA 98370 Phone: 360-779-2336 Fax: 360-779-7628 |