Organization
COOS EYE CENTERS, INC.
Active
Other names
Coquille Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE RUSH ERENFELD O.D. (OWNER)
(541) 396-4042
Entity
Organization
Contact information
Practice address
855 W CENTRAL ST, COQUILLE, OR 97423-1290
(541) 396-4042
Mailing address
PO BOX 489, COQUILLE, OR 97423-0489
(541) 396-4042
(541) 396-6507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2856ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287017
—
OR
Enumeration date
06/07/2007
Last updated
09/29/2009
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