| Stevenson Family Eye Care | |
|
136 Nw 2nd St, Stevenson, WA 98648-4225 | |
| (509) 427-2020 | |
| (509) 427-8268 |
| Full Name | Stevenson Family Eye Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 136 Nw 2nd St, Stevenson, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548692437 | NPI | - | NPPES |
| 2022325 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3314 (Washington) | Primary |
| Provider Name | Anthony William Bergstrom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306917356 PECOS PAC ID: 0648448282 Enrollment ID: I20110726000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Stevenson Family Eye Care Po Box 378, Stevenson, WA 98648-0378 Ph: (509) 427-2020 | Stevenson Family Eye Care 136 Nw 2nd St, Stevenson, WA 98648-4225 Ph: (509) 427-2020 |
Dr. Anthony W Bergstrom, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 Nw 2nd St, Stevenson, WA 98648 Phone: 509-427-2020 Fax: 509-427-8268 | |
Dr. Keith Lyndon Miller, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 136 Nw Second Street, Stevenson, WA 98648 Phone: 509-427-8259 Fax: 509-427-8268 |