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Organization

SPOKANE EYE CLINIC PS

Active
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Organization

SPOKANE EYE CLINIC PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN MADREPERLA MD, PHD (OWNER)
(903) 458-8333
Entity
Organization

Contact information

Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 458-8333

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730187899
ID
05
1730187899
WA
01
32900
LABOR AND INDUSTRIES
WA
01
G000357600
MEDICARE PTAN
WA
Enumeration date
07/12/2005
Last updated
01/05/2026
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