# CATARACT AND LASER INSTITUTE OF SOUTHERN OREGON PC

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

## Provider details

- **NPI number:** 1609913219
- **Authorized official:** MS. JANICE DAWN BOUCHER (BUSINESS CLINIC MANAGER)
- **Authorized official phone:** (541) 779-2020

## Contact information

- **Practice address:** 1408 E. BARNETT RD, MEDFORD, OR 97504
- **Practice address phone:** (541) 779-2020
- **Practice address fax:** (541) 770-6838
- **Mailing address:** 1408 E BARNETT RD, MEDFORD, OR 97504-8279
- **Mailing address phone:** (541) 779-2020
- **Mailing address fax:** (541) 770-6838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 14-00033080 | OR | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 02/02/2023