Ayres, Patrick
Ayres, Patrick is an individual health care provider with primary practice located at 143 Sw Shevlin-Hixon Dr, #101 , Bend OR 97702. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ayres, Patrick can be contacted via phone (541) 317-9747.Contact Information
Primary practice address
143 Sw Shevlin-Hixon Dr, #101
Bend OR 97702
Phone: (541) 317-9747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3188AT | Oregon |
Profile Details
| NPI number | 1639150873 |
|---|---|
| LBN Legal business name | Ayres, Patrick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Mar 14th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639150873 | NPPES |
| Oregon | MEDICAID | 278946 |
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