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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