Organization
EYE CONSULTANTS, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LEE FILLMORE M.D. (PRESIDENT)
(509) 484-5710
Entity
Organization
Contact information
Practice address
9911 N NEVADA ST STE B, SPOKANE, WA 99218-1298
(509) 484-5710
(509) 487-1000
Mailing address
9911 N NEVADA ST STE B, SPOKANE, WA 99218-1298
(509) 484-5710
(509) 487-1000
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
MD00049255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029183
DEPT OF LABOR AND INDUSTRIES
WA
01
—
G8874800
MEDICARE PTAN
WA
Enumeration date
04/25/2008
Last updated
04/10/2019
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