| Three Rivers Eye Care, Ps | |
|
209 West Main St., Suite 100, Kelso, WA 98626-4456 | |
| (360) 414-8000 | |
| (360) 414-1100 |
| Full Name | Three Rivers Eye Care, Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 209 West Main St., Kelso, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104094143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Edward Laulainen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659350460 PECOS PAC ID: 1355450305 Enrollment ID: I20110121001061 |
| Provider Name | Robert J Gilbert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215389721 PECOS PAC ID: 7315227592 Enrollment ID: I20181101002562 |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Eye Care, Ps Po Box 89, Kelso, WA 98626-0102 Ph: (360) 414-8000 | Three Rivers Eye Care, Ps 209 West Main St., Suite 100, Kelso, WA 98626-4456 Ph: (360) 414-8000 |
Luke Boran, OD Optometrist Medicare: Medicare Enrolled Practice Location: 209 W Main St Ste 100, Kelso, WA 98626 Phone: 360-414-8000 Fax: 360-414-1100 | |
Dr. Edward William Laulainen, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 209 West Main St., Suite 100, Kelso, WA 98626 Phone: 360-414-8000 Fax: 360-414-1100 | |
Gregory A Webster, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1704 Allen St, Kelso, WA 98626 Phone: 360-577-0606 Fax: 360-636-2986 |