Peck, Marie Madonna

Peck, Marie Madonna is an sole proprietor health care provider with primary practice located at 2169 14Th Ave Se , Albany OR 97322-8510. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Peck, Marie Madonna can be contacted via phone (541) 967-8730.

Contact Information

Primary practice address
2169 14Th Ave Se Albany OR 97322-8510
Phone: (541) 967-8730
Fax: (541) 926-5465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2821T Oregon
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2821T Oregon
Eye and Vision Services Providers / Pediatrics 152WP0200X 2821T Oregon

Profile Details

NPI number 1013062306
LBN Legal business name Peck, Marie Madonna
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated May 10th, 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.

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