Eye Center Of Gold Beach | |
94225 4th Street, Gold Beach, OR 97444-7756 | |
(541) 247-7212 | |
(541) 247-0490 |
Full Name | Eye Center Of Gold Beach |
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Type | Facility |
Speciality | Optometrist |
Location | 94225 4th Street, Gold Beach, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548390206 | NPI | - | NPPES |
130276 | Other | OR | OMAP |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Nicole Rush |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467400952 PECOS PAC ID: 5799779971 Enrollment ID: I20100428000417 |
Provider Name | John Benjamin Rush |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568483147 PECOS PAC ID: 9032122668 Enrollment ID: I20101021000886 |
Provider Name | Morgan Josie Grove |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598114340 PECOS PAC ID: 3678860723 Enrollment ID: I20161122002444 |
Mailing Address | Practice Location Address |
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Eye Center Of Gold Beach Po Box 1108, Gold Beach, OR 97444-1108 Ph: (541) 247-7212 | Eye Center Of Gold Beach 94225 4th Street, Gold Beach, OR 97444-7756 Ph: (541) 247-7212 |
Coos Eye Centers, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 94225 4th St, Gold Beach, OR 97444 Phone: 541-247-7212 Fax: 541-247-0490 | |
Dr. John B. Rush, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 94225 4th Street, Gold Beach, OR 97444 Phone: 541-247-7212 |