| |
1095 Alabama Avenue, Bandon, OR 97411 | |
(541) 347-3622 | |
(541) 347-2872 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1095 Alabama Avenue, Bandon, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518158500 | NPI | - | NPPES |
287009 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2856ATI (Oregon) | Primary |
Mailing Address | Practice Location Address |
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Po Box 956, Bandon, OR 97411-0956 Ph: (541) 347-3622 | 1095 Alabama Avenue, Bandon, OR 97411 Ph: (541) 347-3622 |
Dr. Nicole A Rush, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1095 Alabama Ave., Bandon, OR 97411 Phone: 541-347-3622 Fax: 541-347-2872 |