| Spokane Eye Clinic Inc, Ps | |
|
427 S Bernard St Spokane WA 99204-2509 | |
| (509) 456-0107 | |
| (509) 747-2635 |
| Full Name | Spokane Eye Clinic Inc, Ps |
|---|---|
| Speciality | Clinic/Center |
| Location | 427 S Bernard St, Spokane, Washington |
| Authorized Official Name and Position | Janis H. Simpson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5094560107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane Eye Clinic Inc, Ps 427 S Bernard St Spokane WA 99204-2509 Ph: (509) 456-0107 | Spokane Eye Clinic Inc, Ps 427 S Bernard St Spokane WA 99204-2509 Ph: (509) 456-0107 |
| NPI Number | 1730187899 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 09/08/2023 |
| Medicare PECOS PAC ID | 1759278393 |
|---|---|
| Medicare Enrollment ID | O20040301000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730187899 | NPI | - | NPPES |
| 1730187899 | Medicaid | ID | |
| 32900 | Other | WA | LABOR AND INDUSTRIES |
| 1730187899 | Medicaid | WA | |
| G000357600 | Other | WA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Lori R Olander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447212519 PECOS PAC ID: 9638069354 Enrollment ID: I20040317000641 |
| Provider Name | Michele P Curl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730297318 PECOS PAC ID: 9537143110 Enrollment ID: I20040614000791 |
| Provider Name | Jolene M Walters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982746533 PECOS PAC ID: 1153211214 Enrollment ID: I20040806000231 |
| Provider Name | Michael R Leachman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538160460 PECOS PAC ID: 6406806942 Enrollment ID: I20050124000322 |
| Provider Name | Kelly M Moffatt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326037532 PECOS PAC ID: 9032128541 Enrollment ID: I20060411000662 |
| Provider Name | Robert Samuel Wirthlin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013973254 PECOS PAC ID: 3476539669 Enrollment ID: I20060522000182 |
| Provider Name | Susan K Engel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821011883 PECOS PAC ID: 9234134917 Enrollment ID: I20061002000581 |
| Provider Name | Darren S Finn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780656108 PECOS PAC ID: 7012960453 Enrollment ID: I20070924000678 |
| Provider Name | Brian J Engel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518120765 PECOS PAC ID: 0941375570 Enrollment ID: I20080818000109 |
| Provider Name | Jennifer J Kerns |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144228982 PECOS PAC ID: 9537204045 Enrollment ID: I20100309000488 |
| Provider Name | Mitchell Jv Maier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306844154 PECOS PAC ID: 8022143148 Enrollment ID: I20100315000749 |
| Provider Name | Alan M Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851399679 PECOS PAC ID: 2163557299 Enrollment ID: I20100315000900 |
| Provider Name | Steven E Day |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528066594 PECOS PAC ID: 9739269267 Enrollment ID: I20100324000909 |
| Provider Name | Erik Dale Skoog |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205834553 PECOS PAC ID: 6002996535 Enrollment ID: I20100630000460 |
| Provider Name | Jonathan Grant Haymore |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811191372 PECOS PAC ID: 4183756695 Enrollment ID: I20100720000231 |
| Provider Name | Jeffrey David Colburn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326195140 PECOS PAC ID: 8325198021 Enrollment ID: I20100810000257 |
| Provider Name | Kandon Kawawahilani Kamae |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801031091 PECOS PAC ID: 9133390123 Enrollment ID: I20120802000023 |
| Provider Name | Andrew Glenn Cheek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790979383 PECOS PAC ID: 8628247178 Enrollment ID: I20120816000057 |
| Provider Name | Jeremy R Fuller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780975664 PECOS PAC ID: 7618153750 Enrollment ID: I20121220000348 |
| Provider Name | Thomas James Riley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104846336 PECOS PAC ID: 4587809322 Enrollment ID: I20140221000035 |
| Provider Name | Kenneth A Absalonson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811206998 PECOS PAC ID: 3678705670 Enrollment ID: I20140404001704 |
| Provider Name | Rory Tyson Allar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326272691 PECOS PAC ID: 0345487492 Enrollment ID: I20140911001117 |
| Provider Name | Loren Jack |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306171970 PECOS PAC ID: 4183855349 Enrollment ID: I20150708000907 |
| Provider Name | Hari Bodhireddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932423605 PECOS PAC ID: 6709001274 Enrollment ID: I20150826001939 |
| Provider Name | Brandon Mcfadden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821402066 PECOS PAC ID: 9830408491 Enrollment ID: I20151021002136 |
| Provider Name | Charles A Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528417979 PECOS PAC ID: 4789975400 Enrollment ID: I20160627002006 |
| Provider Name | Matthew Christopher Weed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780995993 PECOS PAC ID: 8426297557 Enrollment ID: I20160720000684 |
| Provider Name | Emily M Korszen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932551975 PECOS PAC ID: 7214215490 Enrollment ID: I20170620003085 |
| Provider Name | Jessica E Weinstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609212448 PECOS PAC ID: 0143500629 Enrollment ID: I20170630001977 |
| Provider Name | Donald U Stone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790744860 PECOS PAC ID: 7012903784 Enrollment ID: I20180607001356 |
| Provider Name | Alyanna Acala Arzner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750839742 PECOS PAC ID: 5991078057 Enrollment ID: I20190405001248 |
| Provider Name | Nathan Lindsey Noakes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437314200 PECOS PAC ID: 2264508738 Enrollment ID: I20191007003360 |
| Provider Name | Shelly Tina Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285817288 PECOS PAC ID: 5496827321 Enrollment ID: I20200123001098 |
| Provider Name | Robert Joel Welch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376981894 PECOS PAC ID: 9234360595 Enrollment ID: I20200715001630 |
| Provider Name | Dallin Joseph Andersen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225492333 PECOS PAC ID: 8123309382 Enrollment ID: I20220715001786 |
| Provider Name | Danielle Schleicher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174107015 PECOS PAC ID: 4789056045 Enrollment ID: I20231019001392 |
Circ Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Howard St, Suite R, Spokane, WA 99201 Phone: 206-672-1697 | |
Market Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5921 N Market St, Spokane, WA 99208 Phone: 509-444-8200 Fax: 509-444-7806 | |
Providence Medical Group Doctors Building Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W 8th Ave, Suite 7040, Spokane, WA 99204 Phone: 509-456-2406 Fax: 509-456-2407 | |
Providence Medical Group Hawthorne Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 551 E Hawthorne Rd, Spokane, WA 99218 Phone: 509-252-1900 Fax: 509-465-4105 | |
Kaiser Foundation Health Plan Of Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 546 N Jefferson Ln Ste 200, Spokane, WA 99201 Phone: 509-625-3700 | |
Swiggum Internal Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2903 E 25th Ave, Spokane, WA 99223 Phone: 509-536-6700 Fax: 509-536-6856 | |
Klaus T Gottlieb Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12128 N Division St, Ste 164, Spokane, WA 99218 Phone: 509-455-3453 |