Mr Nicholas Peter Grinich, | |
235 Se Norton Ln Ste A, Mcminnville, OR 97128-8479 | |
(503) 472-4688 | |
(503) 474-4731 |
Full Name | Mr Nicholas Peter Grinich |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 235 Se Norton Ln Ste A, Mcminnville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033122627 | NPI | - | NPPES |
026562 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD14713 (Oregon) | Primary |
207W00000X | Ophthalmology | 23437 (Arizona) | Secondary |
Entity Name | Mcminnville Eye Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992819445 PECOS PAC ID: 4587646955 Enrollment ID: O20040607000467 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Peter Grinich, 235 Se Norton Ln Ste A, Mcminnville, OR 97128-8479 Ph: (503) 472-4688 | Mr Nicholas Peter Grinich, 235 Se Norton Ln Ste A, Mcminnville, OR 97128-8479 Ph: (503) 472-4688 |
Mr. David Jc Hayes, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 235 Se Norton Ln Ste A, Mcminnville, OR 97128 Phone: 503-472-4688 Fax: 503-474-4731 | |
Mr. Michael Scott Passo, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2445 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-4688 Fax: 503-474-4731 | |
Gary Ryan Berger, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 235 Se Norton Ln, Suite A, Mcminnville, OR 97128 Phone: 503-472-4688 | |
Cole N Gross, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2445 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-4688 | |
Laura Christine Burke, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2445 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 034-724-6885 |