Organization
SILVERTON EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEROY GILGE O.D. (OWNER/OPTOMETRIST)
(503) 874-2020
Entity
Organization
Contact information
Practice address
114 W MAIN ST, SILVERTON, OR 97381-2019
(503) 874-2020
Mailing address
114 W MAIN ST, SILVERTON, OR 97381-2019
(503) 874-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1160ATI
OR
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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