Individual
DR. WILLIAM RAY LOSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1680 CHAMBERS ST STE 101, EUGENE, OR 97402-3655
(541) 686-1117
(541) 687-2158
Mailing address
1680 CHAMBERS ST STE 101, EUGENE, OR 97402-3655
(541) 686-1117
(541) 687-2158
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1709ATI
OR
152WC0802X
Corneal and Contact Management Optometrist
1709ATI
OR
152WL0500X
Low Vision Rehabilitation Optometrist
1709ATI
OR
152WP0200X
Pediatric Optometrist
1709ATI
OR
152WS0006X
Sports Vision Optometrist
1709ATI
OR
152WV0400X
Vision Therapy Optometrist
1709ATI
OR
152WX0102X
Occupational Vision Optometrist
1709ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108225
—
OR
01
—
931295758
VISION SERVICE PLAN
OR
Enumeration date
02/26/2007
Last updated
01/07/2008
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