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Organization
GENSTLER EYE CENTER
Active
Organization
GENSTLER EYE CENTER
Active
Other names
Darrell E Genstler MD PC, Genstler Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL GENSTLER MD (OWNER)
(541) 928-1667
Entity
Organization
Contact information
Practice address
2700 14TH AVE SE, ALBANY, OR 97322
(541) 928-1667
(541) 928-1817
Mailing address
2700 14TH AVE SE, ALBANY, OR 97322-6956
(541) 928-1667
(541) 928-1817
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138002
—
OR
01
—
CD6788
RAILROAD MEDICARE
—
Enumeration date
09/20/2006
Last updated
01/09/2023
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