Organization
ROBERT W CREED OD PC
Active
Other names
Basin EyeCare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W. CREED O.D. (PRESIDENT)
(541) 882-2812
Entity
Organization
Contact information
Practice address
2424 SHASTA WAY, KLAMATH FALLS, OR 97601-4354
(541) 882-2812
(541) 882-5075
Mailing address
2424 SHASTA WAY, KLAMATH FALLS, OR 97601-4354
(541) 882-2812
(541) 882-5075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1756T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034780
—
OR
Enumeration date
01/03/2008
Last updated
09/29/2008
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