| Eyecare Associates Of Southern Oregon Pc | |
|
935 Royal Ave, Medford, OR 97504-6140 | |
| (541) 779-2211 | |
| (541) 779-8778 |
| Full Name | Eyecare Associates Of Southern Oregon Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 935 Royal Ave, Medford, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902981087 | NPI | - | NPPES |
| 026488 | Medicaid | OR | |
| 229948 | Medicaid | OR | |
| 064886 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3079AT (Oregon) | Primary |
| Provider Name | Tessa C Johnston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174620835 PECOS PAC ID: 4082611181 Enrollment ID: I20061102000578 |
| Provider Name | Brian K Mitchell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417998006 PECOS PAC ID: 7416859228 Enrollment ID: I20110713000393 |
| Provider Name | William Kurt Wilkening |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639126253 PECOS PAC ID: 4183892086 Enrollment ID: I20110720000422 |
| Provider Name | Damon Hanson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396006045 PECOS PAC ID: 4789820994 Enrollment ID: I20130412000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Associates Of Southern Oregon Pc 935 Royal Ave, Medford, OR 97504-6140 Ph: (541) 779-2211 | Eyecare Associates Of Southern Oregon Pc 935 Royal Ave, Medford, OR 97504-6140 Ph: (541) 779-2211 |
Lydia Bouman, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 N Riverside Ave, Medford, OR 97501 Phone: 458-658-5295 | |
Advanced Vision Wellness Center Optometrist Medicare: Medicare Enrolled Practice Location: 1251 E Mcandrews Rd Ste 100, Medford, OR 97504 Phone: 808-264-4810 | |
Optometric Care Of Oregon Optometrist Medicare: Not Enrolled in Medicare Practice Location: 935 Royal Ave, Medford, OR 97504 Phone: 517-779-2211 | |
Columbian Eyecare,llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1175 Royal Avenue Suite A, Medford, OR 97504 Phone: 541-772-9990 Fax: 541-772-5003 | |
Dr. Douglas Guy Smith, OD Optometrist Medicare: Medicare Enrolled Practice Location: 585 Murphy Rd, Medford, OR 97504 Phone: 541-773-1414 Fax: 541-773-5613 | |
Dr. Taylor Scott Oberly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1430 E Mcandrews Rd, Medford, OR 97504 Phone: 541-772-7273 | |
Advanced Vision Wellness Center Optometrist Medicare: Medicare Enrolled Practice Location: 1251 E Mcandrews Rd, Suite 100, Medford, OR 97504 Phone: 541-779-1392 Fax: 541-779-6531 |