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Organization
SPOKANE EYE CLINIC PS
Active
Organization
SPOKANE EYE CLINIC PS
Active
Other names
Spokane Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HASTIE (VP CREDENTIALING AND PAYER RELATION)
(214) 415-9671
Entity
Organization
Contact information
Practice address
427 S BERNARD ST, SUITE 200, SPOKANE, WA 99204-2509
(509) 456-8150
(509) 455-9887
Mailing address
427 S BERNARD ST STE 200, SPOKANE, WA 99204-2509
(509) 456-8150
(509) 455-9887
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF.FS.60101697
WA
261QS0132X
Ophthalmologic Surgery Clinic/Center
600012071
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191562100
L&I
WA
01
—
490003446
RAILROAD MEDICARE
—
05
—
7086879
—
WA
Enumeration date
02/24/2006
Last updated
02/10/2026
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