Luke Boran, OD | |
90 Market St Ste 20, Lebanon, OR 97355-2396 | |
(541) 451-2020 | |
(541) 451-1785 |
Full Name | Luke Boran |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 90 Market St Ste 20, Lebanon, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386329290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4686ATI (Oregon) | Primary |
Provider Name | Lifetime Vision Source Of Lebanon Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710168877 PECOS PAC ID: 6608773148 Enrollment ID: O20031215000247 |
Mailing Address | Practice Location Address |
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Luke Boran, OD 90 Market St Ste 20, Lebanon, OR 97355-2396 Ph: (541) 451-2020 | Luke Boran, OD 90 Market St Ste 20, Lebanon, OR 97355-2396 Ph: (541) 451-2020 |
Dr. Matthew Wayne Knecht, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Mullins Dr Ste B3, Lebanon, OR 97355 Phone: 541-451-5808 Fax: 541-451-5813 | |
Roger Munk, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 90 Market St, Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785 | |
Dennis Pearson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 90 Market St, Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785 | |
Dr. Ariene R Clark, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 90 Market St Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785 | |
Caitlin Squires, OD Optometrist Medicare: Medicare Enrolled Practice Location: 90 Market St Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785 | |
Lifetime Vision Source Llc Optometrist Medicare: Medicare Enrolled Practice Location: 90 Market St, Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785 |