| Selah Vision Source, Pllc | |
|
105 W Orchard Ave, Selah, WA 98942-1329 | |
| (509) 697-6177 | |
| (509) 697-6659 |
| Full Name | Selah Vision Source, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 105 W Orchard Ave, Selah, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487787511 | NPI | - | NPPES |
| 17129 | Other | WA | L & I |
| 2051902 | Medicaid | WA | |
| 8905978 | Other | WA | L & I CRIME VICTIMS |
| C 600 340 4768 | Other | WA | UBI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2610001320 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Selah Vision Source, Pllc 105 W Orchard Ave, Selah, WA 98942-1329 Ph: (509) 697-6177 | Selah Vision Source, Pllc 105 W Orchard Ave, Selah, WA 98942-1329 Ph: (509) 697-6177 |
Mower Vision Source, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1 Jim Clements Way, Selah, WA 98942 Phone: 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 | |
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 |