# GENSTLER EYE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Darrell E Genstler MD PC, Genstler Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124125596
- **Authorized official:** DARRELL GENSTLER MD (OWNER)
- **Authorized official phone:** (541) 928-1667

## Contact information

- **Practice address:** 2700 14TH AVE SE, ALBANY, OR 97322
- **Practice address phone:** (541) 928-1667
- **Practice address fax:** (541) 928-1817
- **Mailing address:** 2700 14TH AVE SE, ALBANY, OR 97322-6956
- **Mailing address phone:** (541) 928-1667
- **Mailing address fax:** (541) 928-1817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 01/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 138002 | — | OR |
| 01 | — | CD6788 | RAILROAD MEDICARE | — |