Provider Demographics
NPI:1316597750
Name:EYECARE ASSOCIATES YAKIMA PLLC
Entity Type:Organization
Organization Name:EYECARE ASSOCIATES YAKIMA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BEUS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:509-303-1031
Mailing Address - Street 1:3909 CREEKSIDE LOOP STE 150
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-4883
Mailing Address - Country:US
Mailing Address - Phone:509-303-1031
Mailing Address - Fax:
Practice Address - Street 1:3909 CREEKSIDE LOOP STE 150
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-4883
Practice Address - Country:US
Practice Address - Phone:509-303-1031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty