Brett Efosa Igbinoba (NPI# 1548610066, PAC ID# 3678866704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1548610066 |
PAC ID by PECOS | 3678866704 |
Professional Enrollment ID | I20160726002866 |
Full Name | Brett Efosa Igbinoba |
Organization Legal Name | BRIDGEPORT FAMILY VISION CLINIC PLLC |
Address |
9101 Bridgeport Swway C Lakewood WA 98499-2419 |
Phone Number | 2535842020 |
Gender | M |
Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
Graduation Year | 2015 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 6901113596 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
9101 Bridgeport Swway C, Lakewood, WA 98499-2419 | 2535842020 | BRIDGEPORT FAMILY VISION CLINIC PLLC |
Organization Legal Name | BRIDGEPORT FAMILY VISION CLINIC PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dale L Tosland | Optometry | Bridgeport Family Vision Clinic Pllc | 9101 Bridgeport Swway C, Lakewood, WA 98499-2419 |
Street Address |
9101 BRIDGEPORT SWWAY C |
City | LAKEWOOD |
State | WA |
Zip | 98499-2419 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dale L Tosland | Optometry | Bridgeport Family Vision Clinic Pllc | 9101 Bridgeport Swway C, Lakewood, WA 98499-2419 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kayleigh Odgear | Occupational Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
Nicole Marie Lippert | Physical Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
Dina Marie Acosta | Physical Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
Bonnie Margaret Edwards | Clinical Social Worker | 9311 Bridgeport Way Sw, Lakewood, WA 98499-1570 | |
Erik M Wells | Chiropractic | 6141 93rd St Sw, Lakewood, WA 98499-2401 | |
Jennifer M Ray | Chiropractic | 6302 93rd St Sw, Lakewood, WA 98499-2408 | |
Lance W Lorfeld | Chiropractic | 9004 Bridgeport Way Sw, Lakewood, WA 98499-2416 | |
Tracy R Johnson | Oral Surgery | 9101 Bridgeport Way Sw, Suite B2, Lakewood, WA 98499-2419 | |
Indra Annette Finch | Psychologist, Clinical | 6108 Community Pl Sw, Suite 3, Lakewood, WA 98499-2447 | |
Carol A Sheean | Clinical Social Worker | 9115 Bridgeport Way Sw, Suite 1, Lakewood, WA 98499-2449 | |
Find all physicians in zip 98499 |
City | LAKEWOOD |
Zip Code | 98499 |
Specialty | OPTOMETRY |
City + Specialty | LAKEWOOD + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.