| Madras Vision Source Pc | |
|
211 Se 5th St, Madras, OR 97741 | |
| (541) 475-2020 | |
| (541) 475-6118 |
| Full Name | Madras Vision Source Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 211 Se 5th St, Madras, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164791414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3215ATI (Oregon) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Jessica B Tegen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982802112 PECOS PAC ID: 2860580560 Enrollment ID: I20071114000035 |
| Provider Name | Marie M Peck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013062306 PECOS PAC ID: 5395801898 Enrollment ID: I20090309000343 |
| Provider Name | Audrey H Brumley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457790248 PECOS PAC ID: 8729220645 Enrollment ID: I20130806000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Madras Vision Source Pc 211 Se 5th St, Madras, OR 97741 Ph: (541) 475-2020 | Madras Vision Source Pc 211 Se 5th St, Madras, OR 97741 Ph: (541) 475-2020 |
Dr. Steven Ralph Evers, OD, FAAO Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3920 E Ashwood Rd, Health Services-optometry, Madras, OR 97741 Phone: 541-325-3450 | |
Dr. Curtis L Dix, O.D. PC Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 Se 5th St, Madras, OR 97741 Phone: 541-475-2020 Fax: 541-475-6118 | |
Central Oregon Eyecare, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 35 Se C St, Suite D, Madras, OR 97741 Phone: 541-475-9999 Fax: 541-475-4247 | |
Jessica Brooke Tegen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 211 Se 5th St, Madras, OR 97741 Phone: 541-475-2020 Fax: 541-923-3776 | |
Madras Vision Source Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 Se 5th St, Madras, OR 97741 Phone: 541-475-2020 Fax: 541-475-6118 |