Organization
VALLEY EYE CARE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROSS HALE O.D. (OWNER)
(541) 754-6222
Entity
Organization
Contact information
Practice address
1505 NW HARRISON BLVD, CORVALLIS, OR 97330-5816
(541) 754-6222
(541) 757-2055
Mailing address
1505 NW HARRISON BLVD, CORVALLIS, OR 97330-5816
(541) 754-6222
(541) 757-2055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1046ATI
OR
152W00000X
Optometrist
2674ATI
OR
152W00000X
Optometrist
3026ATI
OR
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055502000
BLUE CROSS
OR
Enumeration date
04/06/2007
Last updated
04/22/2021
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