# RETINA & VITREOUS CENTER OF SOUTHERN OREGON, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295725448
- **Authorized official:** WILLIAM S RODDEN MD (PRESIDENT)
- **Authorized official phone:** (541) 488-3192

## Contact information

- **Practice address:** 246 CATALINA DR, SUITE 1, ASHLAND, OR 97520-1624
- **Practice address phone:** (541) 488-3192
- **Practice address fax:** (541) 488-0646
- **Mailing address:** 246 CATALINA DR, SUITE 1, ASHLAND, OR 97520-1624
- **Mailing address phone:** (541) 488-3192
- **Mailing address fax:** (541) 488-0646

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 03/03/2014
