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Organization
KLAMATH OPHTHALMOLOGY PC
Active
Organization
KLAMATH OPHTHALMOLOGY PC
Active
Other names
Benson Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK TERRENCE FAY MD (OWNER)
(541) 884-3148
Entity
Organization
Contact information
Practice address
2615 ALMOND ST, KLAMATH FALLS, OR 97601-1176
(541) 883-3688
(541) 883-3687
Mailing address
2640 BIEHN ST STE 3, KLAMATH FALLS, OR 97601-1181
(541) 884-3148
(541) 884-3373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057232
—
OR
Enumeration date
04/03/2013
Last updated
09/23/2026
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