Organization
MODERN EYE CARE OF ASHLAND LLC
Active
Other names
Ashland Optometric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY VALLE OD (MANAGING MEMBER)
(541) 482-3466
Entity
Organization
Contact information
Practice address
933 SISKIYOU BLVD, ASHLAND, OR 97520-2143
(541) 482-3466
(541) 482-7524
Mailing address
933 SISKIYOU BLVD, ASHLAND, OR 97520-2143
(541) 482-3466
(541) 482-7524
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI-3512
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821350687
—
OR
Enumeration date
11/27/2017
Last updated
11/27/2017
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