Organization
SILVERTON EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEIRSTEN DANEE EAGLES O.D. (OWNER)
(503) 881-5486
Entity
Organization
Contact information
Practice address
114 W MAIN ST, SILVERTON, OR 97381-2019
(503) 873-2788
Mailing address
114 W MAIN ST, SILVERTON, OR 97381-2019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3228ATI
OR
152WP0200X
Pediatric Optometrist
3228ATI
OR
152WS0006X
Sports Vision Optometrist
3228ATI
OR
152WV0400X
Vision Therapy Optometrist
3228ATI
OR
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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