| High Desert Vision Source | |
|
443 Sw Evergreen Ave, Redmond, OR 97756-2817 | |
| (541) 923-2221 | |
| (541) 923-3776 |
| Full Name | High Desert Vision Source |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 443 Sw Evergreen Ave, Redmond, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801973110 | NPI | - | NPPES |
| 297153 | Medicaid | OR | |
| 244121 | Medicaid | OR | |
| 236083 | Medicaid | OR | |
| 213242 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2601AT (Oregon) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Gretchen Irene Chadwick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811940778 PECOS PAC ID: 9537155338 Enrollment ID: I20040427000121 |
| Provider Name | Kilah Atkinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497057459 PECOS PAC ID: 0941483978 Enrollment ID: I20120410000179 |
| Provider Name | Audrey H Brumley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457790248 PECOS PAC ID: 8729220645 Enrollment ID: I20130806000272 |
| Provider Name | Karisa M Cervantes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275225302 PECOS PAC ID: 5092151217 Enrollment ID: I20240311002450 |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Vision Source Po Box 918, Redmond, OR 97756-0206 Ph: (541) 923-2221 | High Desert Vision Source 443 Sw Evergreen Ave, Redmond, OR 97756-2817 Ph: (541) 923-2221 |
Duyen Truong, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Sw Indian Ave, Redmond, OR 97756 Phone: 541-249-7652 | |
Central Oregon Eyecare, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Sw Indian Ave, Redmond, OR 97756 Phone: 541-548-2488 Fax: 541-548-5334 | |
Bend Memorial Clinic Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 865 Sw Veterans Way, Redmond, OR 97756 Phone: 541-322-3500 | |
Dr. Donald Leon Peterson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 813 Sw Highland Ave, Redmond, OR 97756 Phone: 541-548-7170 | |
Karisa M Cervantes, OD Optometrist Medicare: Medicare Enrolled Practice Location: 443 Sw Evergreen Ave, Redmond, OR 97756 Phone: 541-923-2221 | |
Dr. Todd Michael Sheldon, OD MBA FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1000 Sw Indian Avenue, Redmond, OR 97756 Phone: 541-548-2488 Fax: 541-548-5334 | |
Audrey H Brumley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 443 Sw Evergreen Ave, Redmond, OR 97756 Phone: 541-923-2221 Fax: 541-923-3776 |