| John Corrado Od Inc | |
|
1000 12th St Hood River OR 97031-1540 | |
| (541) 386-5700 | |
| Not Available |
| Full Name | John Corrado Od Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 12th St, Hood River, Oregon |
| Authorized Official Name and Position | John Corrado (PRES) |
| Authorized Official Contact | 5413865700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Corrado Od Inc 1000 12th St Hood River OR 97031-1540 Ph: () - | John Corrado Od Inc 1000 12th St Hood River OR 97031-1540 Ph: (541) 386-5700 |
| NPI Number | 1942625942 |
|---|---|
| Provider Enumeration Date | 02/27/2014 |
| Last Update Date | 02/27/2014 |
| Medicare PECOS PAC ID | 0143349332 |
|---|---|
| Medicare Enrollment ID | O20140519002134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942625942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1308ATI (Oregon) | Primary |
| Provider Name | John A Corrado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831265578 PECOS PAC ID: 5698885622 Enrollment ID: I20101027000596 |
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