Provider Demographics
NPI:1518070879
Name:EHLERS EYE SURGERY LLC
Entity Type:Organization
Organization Name:EHLERS EYE SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:EHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-966-2253
Mailing Address - Street 1:3403 POWERHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-1547
Mailing Address - Country:US
Mailing Address - Phone:509-966-2253
Mailing Address - Fax:509-966-3768
Practice Address - Street 1:3403 POWERHOUSE RD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-1547
Practice Address - Country:US
Practice Address - Phone:509-966-2253
Practice Address - Fax:509-966-3768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00183731OtherRAILROAD MEDICARE
WA0199587OtherLABOR & INDUSTRIES
WA7126451Medicaid
WA0199587OtherLABOR & INDUSTRIES