Eye Care Optical

LBN: Eye Care Specialists Ps
Eye Care Optical is an health care organization with primary practice located at 500 Port Dr , Clarkston WA 99403-1835. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Contact Lens Fitter, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Eye Care Specialists Ps can be contacted via phone (509) 758-8811, or through Eggleston, Mark T via phone (509) 758-8811.

Contact Information

Primary practice address
500 Port Dr Clarkston WA 99403-1835
Phone: (509) 758-8811
Fax: (509) 751-1188
Website:
Map and Directions
Authorized official contact:
Name: Eggleston, Mark T Doctor of Medicine (MD)
Phone: (509) 758-8811

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00003976 Washington
Eye and Vision Services Providers / Optometrist 152W00000X OPD-100067 Idaho
Eye and Vision Services Providers / Contact Lens Fitter 156FC0801X 601269693 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD00014109 Washington

Profile Details

NPI number 1972514917
LBN Legal business name Eye Care Specialists Ps
DBA Doing business as Eye Care Optical
Authorized official Eggleston, Mark T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 11th, 2006
Last updated Sep 20th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972514917 NPPES
Washington MEDICAID 7088859
Washington Other 0123143
Washington Other CN6339
Washington Other 000010006387
Washington Other 24509
Washington Other 85977
Washington MEDICAID 805350600
Washington Other 8927759

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