Individual
ALEX ILYIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
205 WEST MAIN STREET, EVERSON, WA 98247
(360) 966-0445
Mailing address
PO BOX 853, EVERSON, WA 98247-0853
(360) 966-0445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003776
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029098
—
WA
Enumeration date
09/28/2006
Last updated
11/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us