# KLAMATH OPHTHALMOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Klamath Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730148271
- **Authorized official:** MRS. TRACY HUDSON (OFFICE MANAGER)
- **Authorized official phone:** (541) 884-3148

## Contact information

- **Practice address:** 2640 BIEHN ST, KLAMATH FALLS, OR 97601-1181
- **Practice address phone:** (541) 884-3148
- **Practice address fax:** (541) 884-3373
- **Mailing address:** 2640 BIEHN ST, KLAMATH FALLS, OR 97601-1181
- **Mailing address phone:** (541) 884-3148
- **Mailing address fax:** (541) 884-3373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1333T | OR | — |
| 152W00000X | Optometrist | 2714AT | OR | — |
| 152W00000X | Optometrist | 2975T | OR | — |
| 207W00000X | Ophthalmology Physician | MD16253 | OR | Yes |

## Other

- **Enumeration date:** 03/22/2006
- **Last updated:** 09/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004571000 | BCBS | OR |
| 05 | — | 096255 | — | OR |
| 01 | — | CK5472 | RAILROAD MEDICARE | OR |
| 01 | — | CO1675 | RAILROAD MEDICARE | OR |
