| Vision Source Walla Walla Pllc | |
|
614 E Alder St Ste 1, Walla Walla, WA 99362-2073 | |
| (509) 527-3937 | |
| (509) 529-4750 |
| Full Name | Vision Source Walla Walla Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 614 E Alder St Ste 1, Walla Walla, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245077080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Daniel James Wiessner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770860165 PECOS PAC ID: 2163641234 Enrollment ID: I20140923000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Walla Walla Pllc 614 E Alder St Ste 1, Walla Walla, WA 99362-2073 Ph: (509) 527-3937 | Vision Source Walla Walla Pllc 614 E Alder St Ste 1, Walla Walla, WA 99362-2073 Ph: (509) 527-3937 |
Dr. Rebecca Jeannine Harbert, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-966-5200 | |
Dr. Eugene Wyn Cheung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 77 Wainwright Dr Bldg 140, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Angela Dee Ferguson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22 W Main St, Walla Walla, WA 99362 Phone: 509-529-2020 Fax: 509-529-2115 | |
Jennifer Danielle Bond, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Wainwright Memorial Va Medical Center Eye Clinic 123, Walla Walla, WA 99362 Phone: 509-527-3491 Fax: 509-526-6202 | |
Dr. Tara Elizabeth Evanger-dalke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1610 Penny Ln, Walla Walla, WA 99362 Phone: 509-540-3937 Fax: 509-540-3938 | |
Dr. Harry Walter Wiessner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 614 E Alder St, Suite #1, Walla Walla, WA 99362 Phone: 509-527-3937 Fax: 509-529-4750 |