Molalla Vision Clinic Pc | |
502 E Main St, Molalla, OR 97038-9148 | |
(503) 829-9186 | |
(503) 829-8402 |
Full Name | Molalla Vision Clinic Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 502 E Main St, Molalla, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497931018 | NPI | - | NPPES |
260661 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2487ATI (Oregon) | Primary |
Provider Name | Catherine B Saul |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457323495 PECOS PAC ID: 5698670826 Enrollment ID: I20031202000069 |
Provider Name | Ann M Slocum Edmonds |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194716449 PECOS PAC ID: 3971502535 Enrollment ID: I20070215000081 |
Provider Name | Jay W Walker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235231275 PECOS PAC ID: 8325197809 Enrollment ID: I20090513000377 |
Provider Name | Amrita Kang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508210139 PECOS PAC ID: 1052683349 Enrollment ID: I20170822001070 |
Provider Name | Chelsea N Territo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003475625 PECOS PAC ID: 9537495379 Enrollment ID: I20190731002242 |
Provider Name | Nils Kofoed |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649895681 PECOS PAC ID: 3870918535 Enrollment ID: I20200729001396 |
Provider Name | Anna Paffrath |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447934534 PECOS PAC ID: 6901264084 Enrollment ID: I20230621003639 |
Mailing Address | Practice Location Address |
---|---|
Molalla Vision Clinic Pc Po Box 480, Molalla, OR 97038-0480 Ph: (503) 829-9186 | Molalla Vision Clinic Pc 502 E Main St, Molalla, OR 97038-9148 Ph: (503) 829-9186 |
Mr. Jay Wallace Walker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 E Main Street, Molalla, OR 97038 Phone: 503-829-9186 Fax: 503-829-8402 | |
Anna Paffrath, OD Optometrist Medicare: Medicare Enrolled Practice Location: 502 E Main St, Molalla, OR 97038 Phone: 503-829-9186 |