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Organization

WILLIAM R. LOSIE O.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM RAY LOSIE O.D. (PRESIDENT)
(541) 686-1117
Entity
Organization

Contact information

Practice address
1680 CHAMBERS ST, SUITE 101, EUGENE, OR 97402-3655
(541) 686-1117
(541) 687-2158
Mailing address
1680 CHAMBERS ST, SUITE 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
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108225
OR
01
POOO70376
RAILROAD MEDICARE
OR
Enumeration date
11/30/2011
Last updated
04/06/2020
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