Provider Demographics
NPI:1982773313
Name:EYE CONSULTANTS PS
Entity Type:Organization
Organization Name:EYE CONSULTANTS PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER PHYSICIAN SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NEMSER
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-484-5710
Mailing Address - Street 1:235 E ROWAN
Mailing Address - Street 2:SUITE #107
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1240
Mailing Address - Country:US
Mailing Address - Phone:509-484-5710
Mailing Address - Fax:509-487-1000
Practice Address - Street 1:235 E ROWAN
Practice Address - Street 2:SUITE #107
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1240
Practice Address - Country:US
Practice Address - Phone:509-484-5710
Practice Address - Fax:509-487-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7073174Medicaid
WA120466OtherL & I
WAG319206500Medicare PIN
WAA073136Medicare UPIN