Organization
INTEGRATED EYECARE HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN C SCOTT OD, MS (MANAGER)
(541) 382-5701
Entity
Organization
Contact information
Practice address
452 NE GREENWOOD AVE, BEND, OR 97701-4645
(541) 382-5701
Mailing address
452 NE GREENWOOD AVE, BEND, OR 97701-4645
(541) 382-5701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3133ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218686
—
OR
Enumeration date
01/01/2017
Last updated
01/01/2017
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