Ashland Optometric Clinic

LBN: Modern Eye Care Of Ashland Llc
Ashland Optometric Clinic is an health care organization with primary practice located at 933 Siskiyou Blvd , Ashland OR 97520-2143. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Modern Eye Care Of Ashland Llc can be contacted via phone (541) 482-3466, or through Valle, Gregory via phone (541) 482-3466.

Contact Information

Primary practice address
933 Siskiyou Blvd Ashland OR 97520-2143
Phone: (541) 482-3466
Fax: (541) 482-7524
Website:
Map and Directions
Authorized official contact:
Name: Valle, Gregory Doctor of Optometry (OD)
Phone: (541) 482-3466

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ATI-3512 Oregon

Profile Details

NPI number 1346754413
LBN Legal business name Modern Eye Care Of Ashland Llc
DBA Doing business as Ashland Optometric Clinic
Authorized official Valle, Gregory Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2017
Last updated Nov 27th, 2017 - about 8 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 1346754413 NPPES
Oregon MEDICAID 1821350687

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