| Florence Reedsport Eye Clinics | |
|
535 9th St, Florence, OR 97439 | |
| (541) 997-3331 | |
| (541) 997-9439 |
| Full Name | Florence Reedsport Eye Clinics |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 535 9th St, Florence, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184774440 | NPI | - | NPPES |
| R00WCYBXB | Other | OR | MEDICARE |
| R0000WCYBX | Other | OR | MEDICARE |
| R00WCYBXA | Other | OR | MEDICARE |
| 139325 | Other | OR | PTAN |
| 410027916 | Other | OR | PALMETTO GBA |
| R00WCYBXC | Other | OR | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1206ATI (Oregon) | Primary |
| Provider Name | Justin Thomas Mans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205034865 PECOS PAC ID: 4486741014 Enrollment ID: I20071030000227 |
| Provider Name | Robert A Mans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588642086 PECOS PAC ID: 8527155449 Enrollment ID: I20100622000671 |
| Provider Name | Julie Ann Kittock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285612788 PECOS PAC ID: 3375674443 Enrollment ID: I20100706000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Florence Reedsport Eye Clinics Po Box 277, Florence, OR 97439-0010 Ph: (541) 997-3331 | Florence Reedsport Eye Clinics 535 9th St, Florence, OR 97439 Ph: (541) 997-3331 |
Dr. Justin Thomas Mans, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 535 9th St, Florence, OR 97439 Phone: 541-997-3331 | |
Dr. Julie Ann Cecelia Kittock, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 535 9th Street, Florence, OR 97439 Phone: 541-997-3331 Fax: 541-997-9439 | |
Dr. Raymond Gene Mans, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 535 9th Street, Florence, OR 97439 Phone: 541-997-3331 Fax: 541-997-9439 | |
Dr. Robert Allan Mans, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 535 9th St, Florence, OR 97439 Phone: 541-997-3331 Fax: 541-997-9439 |