Pacific Clear Vision Institute, Pc | |
360 S Garden Way Ste 250, Eugene, OR 97401-8175 | |
(541) 343-0000 | |
(541) 344-9478 |
Full Name | Pacific Clear Vision Institute, Pc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 360 S Garden Way Ste 250, Eugene, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699812719 | NPI | - | NPPES |
004748000 | Other | OR | BCBS OF OREGON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | MD16207 (Oregon) | Primary |
Provider Name | Bradley J Lorenzen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639195183 PECOS PAC ID: 4789718149 Enrollment ID: I20100820000319 |
Provider Name | Robin E Bautista |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710186887 PECOS PAC ID: 9234327396 Enrollment ID: I20120815000656 |
Provider Name | Balamurali Ambati |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750397576 PECOS PAC ID: 4385721141 Enrollment ID: I20161018000599 |
Provider Name | Alexandria N Jernberg |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013501220 PECOS PAC ID: 0941618557 Enrollment ID: I20210420002869 |
Provider Name | Eric J Niespodzony |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1245624782 PECOS PAC ID: 6901118926 Enrollment ID: I20210514000235 |
Provider Name | Joseph Thomas Mando |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1477997591 PECOS PAC ID: 5193031995 Enrollment ID: I20230118000089 |
Provider Name | Shelley Jelineo |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740742758 PECOS PAC ID: 6305170242 Enrollment ID: I20230605000488 |
Mailing Address | Practice Location Address |
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Pacific Clear Vision Institute, Pc 360 S Garden Way Ste 250, Eugene, OR 97401-8175 Ph: (541) 343-0000 | Pacific Clear Vision Institute, Pc 360 S Garden Way Ste 250, Eugene, OR 97401-8175 Ph: (541) 343-0000 |