Gotcher, Mark
Gotcher, Mark is an sole proprietor health care provider with primary practice located at 315 S Pacific Hwy 99 , Cottage Grove OR 97424-2137. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gotcher, Mark can be contacted via phone (541) 942-0176.Contact Information
Primary practice address
315 S Pacific Hwy 99
Cottage Grove OR 97424-2137
Phone: (541) 942-0176
Fax: (541) 942-0177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2529AT | Oregon |
Profile Details
| NPI number | 1588646673 |
|---|---|
| LBN Legal business name | Gotcher, Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Oct 29th, 2007 - about 17 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 | 1588646673 | NPPES |
| Oregon | MEDICAID | 208414 |
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