Organization
CENTRAL OREGON EYECARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI SUTTON (BILLING ADMINISTRATOR)
(360) 861-8257
Entity
Organization
Contact information
Practice address
35 SE C ST, SUITE D, MADRAS, OR 97741-1706
(541) 475-9999
(541) 475-4247
Mailing address
35 SE C STREET, STE D, MADRAS, OR 97741-1706
(541) 475-9999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2823ATI
OR
261Q00000X
Clinic/Center
2823ATI
OR
Other
Enumeration date
06/22/2009
Last updated
09/25/2009
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