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Organization
KLAMATH OPHTHALMOLOGY PC
Active
Organization
KLAMATH OPHTHALMOLOGY PC
Active
Other names
Klamath Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY HUDSON (OFFICE MANAGER)
(541) 884-3148
Entity
Organization
Contact information
Practice address
2640 BIEHN ST, KLAMATH FALLS, OR 97601-1181
(541) 884-3148
(541) 884-3373
Mailing address
2640 BIEHN ST, KLAMATH FALLS, OR 97601-1181
(541) 884-3148
(541) 884-3373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1333T
OR
152W00000X
Optometrist
2714AT
OR
152W00000X
Optometrist
2975T
OR
207W00000X
Ophthalmology Physician
Primary
MD16253
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004571000
BCBS
OR
05
—
096255
—
OR
01
—
CK5472
RAILROAD MEDICARE
OR
01
—
CO1675
RAILROAD MEDICARE
OR
Enumeration date
03/22/2006
Last updated
09/23/2026
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