| Mid-valley Eyecare | |
|
986 Se Uglow St., Dallas, OR 97338 | |
| (503) 623-3538 | |
| (503) 623-8112 |
| Full Name | Mid-valley Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 986 Se Uglow St., Dallas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366517989 | NPI | - | NPPES |
| DC770 | Other | MEDICARE RAILROAD | |
| 212606 | Other | EYEMED | |
| 298499 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2925ATI (Oregon) | Primary |
| Provider Name | Christopher D Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740383116 PECOS PAC ID: 9436048188 Enrollment ID: I20040311001237 |
| Provider Name | Maureen Finley Arthurs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780830984 PECOS PAC ID: 7416073895 Enrollment ID: I20110930000494 |
| Provider Name | Joel Tuttle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336322056 PECOS PAC ID: 4981900156 Enrollment ID: I20160315000450 |
| Provider Name | Ashley Nicole Stone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205446747 PECOS PAC ID: 6507282530 Enrollment ID: I20200820001735 |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-valley Eyecare 986 Se Uglow St., Dallas, OR 97338 Ph: (503) 623-3538 | Mid-valley Eyecare 986 Se Uglow St., Dallas, OR 97338 Ph: (503) 623-3538 |
Gary Knowles, OD Optometrist Medicare: Medicare Enrolled Practice Location: 506 Main St, Dallas, OR 97338 Phone: 503-623-9233 Fax: 503-623-9233 | |
John L Barringer, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 606 Sw Hayter St, Dallas, OR 97338 Phone: 503-949-5760 | |
Geoffrey Wade Knowles, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 506 Main St, Dallas, OR 97338 Phone: 503-851-2547 | |
Christopher David Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 986 Se Uglow Street, Dallas, OR 97338 Phone: 503-623-3538 Fax: 503-623-8112 | |
Dallas Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 506 Main St, Dallas, OR 97338 Phone: 503-623-9233 Fax: 503-623-9233 |