Eyecare Associates Of Southern Oregon Pc

LBN: Eyecare Associates Of Southern Oregon Pc
Eyecare Associates Of Southern Oregon Pc is an health care organization with primary practice located at 935 Royal Ave , Medford OR 97504-6140. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eyecare Associates Of Southern Oregon Pc can be contacted via phone (541) 779-2211, or through Mitchell, Brian K via phone (541) 779-2211.

Contact Information

Primary practice address
935 Royal Ave Medford OR 97504-6140
Phone: (541) 779-2211
Fax: (541) 779-8778
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Brian K Doctor of Optometry (OD)
Phone: (541) 779-2211

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3079AT Oregon

Profile Details

NPI number 1902981087
LBN Legal business name Eyecare Associates Of Southern Oregon Pc
DBA Doing business as
Authorized official Mitchell, Brian K Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Jun 16th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902981087 NPPES
Oregon MEDICAID 026488
Oregon MEDICAID 229948
Oregon MEDICAID 064886

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