| Pasco Vision Clinic, P.s. | |
|
2715 W Court St Pasco WA 99301-3911 | |
| (509) 547-8409 | |
| (509) 547-3751 |
| Full Name | Pasco Vision Clinic, P.s. |
|---|---|
| Speciality | Optometrist |
| Location | 2715 W Court St, Pasco, Washington |
| Authorized Official Name and Position | James C Sullivan (PRESIDENT) |
| Authorized Official Contact | 5095478409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasco Vision Clinic, P.s. 2715 W Court St Pasco WA 99301-3911 Ph: (509) 547-8409 | Pasco Vision Clinic, P.s. 2715 W Court St Pasco WA 99301-3911 Ph: (509) 547-8409 |
| NPI Number | 1104851690 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 06/22/2022 |
| Medicare PECOS PAC ID | 2860484169 |
|---|---|
| Medicare Enrollment ID | O20040330000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104851690 | NPI | - | NPPES |
| 1265729354 | Medicaid | WA | |
| CK6046 | Other | WA | RAILROAD MEDICARE |
| 0056740 | Other | WA | DEPT OF LABOR & INDUSTRY |
| 1568661924 | Medicaid | WA | |
| 1104851690 | Medicaid | WA | |
| 2300028 | Medicaid | WA | |
| 1992802656 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | 38 (Washington) | Primary |
| Provider Name | James C Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992802656 PECOS PAC ID: 6002907243 Enrollment ID: I20070802000334 |
| Provider Name | Adam D Good |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568661924 PECOS PAC ID: 3678667201 Enrollment ID: I20070913000426 |
| Provider Name | William E Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265729354 PECOS PAC ID: 9032360805 Enrollment ID: I20121105000342 |
Our Lady Of Lourdes Hospital At Pasco Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4215 Convention Pl, Suite B, Pasco, WA 99301 Phone: 509-416-8849 | |
Tri-cities Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 | |
Our Lady Of Lourdes Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 14th Ave, Pasco, WA 99301 Phone: 509-547-7704 | |
Our Lady Of Lourdes Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 W Park St, Suite 3, Pasco, WA 99301 Phone: 509-547-6617 Fax: 509-547-6435 | |
Alex B Najera Md Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1620 N Road 44, Pasco, WA 99301 Phone: 509-544-2156 Fax: 509-544-2158 | |
Columbia Safety Medical Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9530 Bedford St, Pasco, WA 99301 Phone: 509-820-3883 |