Issaquah Vision Source, Ps - Medicare Optometrist in Issaquah, WA

Issaquah Vision Source, Ps is a medicare enrolled "Optometrist" provider in Issaquah, Washington. Their current practice location is 450 Nw Gilman Blvd, Ste 104, Issaquah, Washington. You can reach out to their office (for appointments etc.) via phone at (425) 392-8756.

Issaquah Vision Source, Ps is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Issaquah Vision Source, Ps is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1225195431.

Contact Information

Issaquah Vision Source, Ps
450 Nw Gilman Blvd, Ste 104,
Issaquah, WA 98027-2483
(425) 392-8756
(425) 391-8631



Healthcare Provider's Profile

Full NameIssaquah Vision Source, Ps
TypeFacility
SpecialityOptometrist
Location450 Nw Gilman Blvd, Issaquah, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225195431
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 07/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6507195260
  • Enrollment ID: O20190906000392

Medical Identifiers

Medical identifiers for Issaquah Vision Source, Ps such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225195431NPI-NPPES
2081305MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Issaquah Vision Source, Ps acts as a billing entity for following providers:
Provider NameStephan L Cassidy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679630867
PECOS PAC ID: 4284736554
Enrollment ID: I20070217000057

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Provider NameWalter V Cassidy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447317615
PECOS PAC ID: 0648372912
Enrollment ID: I20070217000066

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Provider NameShani E Rerecich
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619225190
PECOS PAC ID: 6608025424
Enrollment ID: I20130328000337

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Provider NameErinn Tolomei
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942617865
PECOS PAC ID: 8022239060
Enrollment ID: I20141016001319

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Provider NameChristina Schiller
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841606738
PECOS PAC ID: 8224255104
Enrollment ID: I20160219001477

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Provider NameAdam Richard Smith
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912591884
PECOS PAC ID: 6709242316
Enrollment ID: I20230523002279

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Issaquah Vision Source, Ps is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Issaquah Vision Source, Ps
450 Nw Gilman Blvd, Ste 104,
Issaquah, WA 98027-2483

Ph: (425) 392-8756
Issaquah Vision Source, Ps
450 Nw Gilman Blvd, Ste 104,
Issaquah, WA 98027-2483

Ph: (425) 392-8756

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› Verified 6 days ago


Optometrist in Issaquah, WA

Dr. Frank Swenson, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 700 Nw Gilman Blvd., Suite E-102, Issaquah, WA 98027
Phone: 425-391-1819    
Klahanie Eye Care Center
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4538 Klahanie Dr Se, Issaquah, WA 98029
Phone: 425-392-9982    Fax: 815-301-5473
Clemence Mendoza, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 100 Ne Gilman Blvd, Issaquah, WA 98027
Phone: 425-557-8000    
Dr. Michael Dennis Erickson, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4538 Klahanie Dr Se, Issaquah, WA 98029
Phone: 425-392-9982    Fax: 815-301-5473
Christina Schiller Od Pllc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 970 5th Ave Nw Ste 120, Issaquah, WA 98027
Phone: 425-276-0388    
Dr. Teri Tsuchiya Yoshimura, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1145 Nw Gilman Blvd # G-12, Issaquah, WA 98027
Phone: 425-391-9331    Fax: 425-391-9331

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