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2700 14th Ave Se, Albany, OR 97322 | |
(541) 928-1667 | |
(541) 928-1817 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2700 14th Ave Se, Albany, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124125596 | NPI | - | NPPES |
CD6788 | Other | RAILROAD MEDICARE | |
138002 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Darrell Eugene Genstler |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063523751 PECOS PAC ID: 5294631594 Enrollment ID: I20110408000385 |
Provider Name | Linnea Stonecypher |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629359484 PECOS PAC ID: 5294965356 Enrollment ID: I20210407002037 |
Provider Name | Etienne Bingham |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184305013 PECOS PAC ID: 8022470137 Enrollment ID: I20230821003170 |
Provider Name | Benjamin A Friedman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912759309 PECOS PAC ID: 0143766220 Enrollment ID: I20240725000504 |
Mailing Address | Practice Location Address |
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2700 14th Ave Se, Albany, OR 97322-6956 Ph: (541) 928-1667 | 2700 14th Ave Se, Albany, OR 97322 Ph: (541) 928-1667 |