| Eye Center Of Brookings, Llc | |
|
937 Chetco Ave, Brookings, OR 97415 | |
| (541) 469-6923 | |
| (541) 469-6769 |
| Full Name | Eye Center Of Brookings, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 937 Chetco Ave, Brookings, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912010596 | NPI | - | NPPES |
| 208317 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OR 2740 ATI (Oregon) | Primary |
| Provider Name | Douglas J Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902806375 PECOS PAC ID: 0941213573 Enrollment ID: I20100721000310 |
| Provider Name | Kristin J Gurholt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982673927 PECOS PAC ID: 7012005408 Enrollment ID: I20190403002808 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Center Of Brookings, Llc Po Box 4005, Brookings, OR 97415-0228 Ph: (541) 469-6923 | Eye Center Of Brookings, Llc 937 Chetco Ave, Brookings, OR 97415 Ph: (541) 469-6923 |
Paulson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 586 5th St Ste 300, Brookings, OR 97415 Phone: 541-469-7775 | |
Precision Eyecare P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 586 5th St Ste 300, Brookings, OR 97415 Phone: 541-469-7775 | |
Vincent Van Houten, O.d., Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 5th St, Located In The Optical Shoppe, Brookings, OR 97415 Phone: 541-469-5556 Fax: 541-469-2875 | |
Dr. Wayne Robert Paulson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 586 5th St Ste 300, Brookings, OR 97415 Phone: 541-469-7775 | |
Dr. Ronald Dustin Bodman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 586 5th St, Suite 300, Brookings, OR 97415 Phone: 541-469-7775 Fax: 541-469-3102 | |
Dr. Douglas John Walker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 937 Chetco Ave Ste K 4005, Brookings, OR 97415 Phone: 541-469-6923 Fax: 541-469-6769 |