MEDICARE: SPOKANE EYE CLINIC PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1508617317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPOKANE EYE CLINIC PS

Provider Business Mailing Address
First Line	:	427 S BERNARD ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99204-2509
Country	:	US
Telephone Number	:	509-623-9782
Fax Number	:	509-747-2635

Provider Business Practice Location Address
First Line	:	9651 N NEVADA ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1132
Country	:	US
Telephone Number	:	509-456-0107
Fax Number	:	509-747-2635

Authorized Official
Title or Position	:	OWNER
Name	:	STEVEN A MADREPERLA
Credential	:	MD
Telephone Number	:	908-458-8333

Provider Enumeration Date	:	03/29/2024
Last Update Date	:	01/05/2026

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Directions to “SPOKANE EYE CLINIC PS ” Practice Location

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