Wallowa Valley Eye Care, Inc. | |
519 W. North Street, Enterprise, OR 97828-1168 | |
(541) 426-3413 | |
(541) 426-4489 |
Full Name | Wallowa Valley Eye Care, Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 519 W. North Street, Enterprise, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194092940 | NPI | - | NPPES |
275377 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2557ATI (Oregon) | Primary |
Provider Name | James T Bailey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245256445 PECOS PAC ID: 6103819263 Enrollment ID: I20040405001434 |
Provider Name | Erica Bailey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790396471 PECOS PAC ID: 5092128272 Enrollment ID: I20210107000686 |
Mailing Address | Practice Location Address |
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Wallowa Valley Eye Care, Inc. Po Box L, Enterprise, OR 97828-0227 Ph: (541) 426-3413 | Wallowa Valley Eye Care, Inc. 519 W. North Street, Enterprise, OR 97828-1168 Ph: (541) 426-3413 |
James Troy Bailey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 519 W North Street, Enterprise, OR 97828 Phone: 541-426-3413 Fax: 541-426-4489 | |
Dr. Erica Louise Bailey, OD Optometrist Medicare: Medicare Enrolled Practice Location: 519 W North St, Enterprise, OR 97828 Phone: 541-426-3413 |