| Vision Source Of Wenatchee, Ps | |
|
1190 5th St, Wenatchee, WA 98801-1825 | |
| (509) 662-9671 | |
| (509) 662-9672 |
| Full Name | Vision Source Of Wenatchee, Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1190 5th St, Wenatchee, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023175163 | NPI | - | NPPES |
| 2030914 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1494 (Washington) | Primary |
| Provider Name | Jason Dean Barnes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306151287 PECOS PAC ID: 1557487618 Enrollment ID: I20100927000051 |
| Provider Name | Nicholas Donaghey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063854479 PECOS PAC ID: 0547490310 Enrollment ID: I20140224001857 |
| Provider Name | Amanda Donabauer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407102452 PECOS PAC ID: 7719123041 Enrollment ID: I20141219001494 |
| Provider Name | Jennifer Larie Renard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699183061 PECOS PAC ID: 0143440552 Enrollment ID: I20190318002606 |
| Provider Name | Sarah F Krauss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407543424 PECOS PAC ID: 1759745862 Enrollment ID: I20230907003415 |
| Provider Name | Nikita Katoozi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083106843 PECOS PAC ID: 2860739513 Enrollment ID: I20231106002867 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Of Wenatchee, Ps 1190 5th St, Wenatchee, WA 98801-1825 Ph: (509) 662-9671 | Vision Source Of Wenatchee, Ps 1190 5th St, Wenatchee, WA 98801-1825 Ph: (509) 662-9671 |
Nicholas Allen Donaghey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1190 5th St, Wenatchee, WA 98801 Phone: 509-662-9671 Fax: 509-662-9672 | |
Nikita Katoozi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1190 5th St, Wenatchee, WA 98801 Phone: 509-662-9671 Fax: 509-662-9672 | |
Aleice Jane Vujnovich Ellerkamp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1052 Springwater Ave, Wenatchee, WA 98801 Phone: 509-663-8868 | |
Dr. Jesse Quinton Mccarrell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Dr. Jason D Barnes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1190 5th St, Wenatchee, WA 98801 Phone: 509-662-9671 |