| Tvc Od, Llc | |
|
800 Main Ave Ste A Tillamook OR 97141-3760 | |
| (503) 842-5568 | |
| (503) 842-1122 |
| Full Name | Tvc Od, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Main Ave Ste A, Tillamook, Oregon |
| Authorized Official Name and Position | Lee Johnson (MEMBER) |
| Authorized Official Contact | 3606012953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tvc Od, Llc 800 Main Ave Ste A Tillamook OR 97141-3760 Ph: (503) 842-5568 | Tvc Od, Llc 800 Main Ave Ste A Tillamook OR 97141-3760 Ph: (503) 842-5568 |
| NPI Number | 1790215192 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1456619360 |
|---|---|
| Medicare Enrollment ID | O20171226001850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790215192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lee M Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104113497 PECOS PAC ID: 7214188655 Enrollment ID: I20170814002658 |
| Provider Name | Jamie L Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790820306 PECOS PAC ID: 0648286989 Enrollment ID: I20200925002191 |
| Provider Name | William J Auer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598334971 PECOS PAC ID: 3779986146 Enrollment ID: I20210722001081 |
| Provider Name | Christopher Don Jenck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497470199 PECOS PAC ID: 1153797766 Enrollment ID: I20221024001574 |
| Provider Name | Shauntel Steele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851060420 PECOS PAC ID: 9537532304 Enrollment ID: I20230224001654 |
Bay Ocean Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 3rd St, Tillamook, OR 97141 Phone: 503-842-7533 Fax: 503-842-9636 | |
Tillamook Specialist Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 3rd St, Suite 500, Tillamook, OR 97141 Phone: 503-842-5546 Fax: 503-842-1444 | |
Adventist Health/tillamook Medical Group Bay Ocean Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1011 3rd St, Tillamook, OR 97141 Phone: 503-815-2306 Fax: 503-815-2330 | |
Providence St Vincent Heart Clinics Cardiology Tillamook 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 3rd St, Tillamook, OR 97141 Phone: 888-297-6234 | |
Middle Way Health Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2615 6th St, Tillamook, OR 97141 Phone: 503-812-7367 | |
Tillamook Medical Group-family Practice & Outpatient Therapies Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 3rd St, Tillamook, OR 97141 Phone: 503-842-4444 | |
Tillamook Vision Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Main Ave, Suite A, Tillamook, OR 97141 Phone: 503-842-5568 Fax: 503-842-1122 |