Santiam Vision Source is a
Optometrist based in Stayton, Oregon. Santiam Vision Source is licensed to practice in Oregon (license number 1174ATI) and their current practice location is
515 N 3rd Ave, Stayton, Oregon. It can be reached at their office (for appointments etc.) via phone at
(503) 769-3441.
NPI number for Santiam Vision Source is 1215111901 and their current mailing address is 515 N 3rd Ave, Stayton, Oregon. Santiam Vision Source
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1215111901.
Healthcare Provider's Profile
Full Name | Santiam Vision Source |
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Type | Facility |
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Speciality | Optometrist |
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Location | 515 N 3rd Ave, Stayton, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215111901
- Provider Enumeration Date: 12/18/2007
- Last Update Date: 05/20/2011
Medical Identifiers
Medical identifiers for Santiam Vision Source such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215111901 | NPI | - | NPPES |
181982 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1174ATI (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Santiam Vision Source is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Santiam Vision Source 515 N 3rd Ave, Stayton, OR 97383-1729 Ph: (503) 769-3441 | Santiam Vision Source 515 N 3rd Ave, Stayton, OR 97383-1729 Ph: (503) 769-3441 |
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