Organization
COOS BAY VISION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA B GATES OD (PRESIDENT)
(541) 267-4224
Entity
Organization
Contact information
Practice address
986 CENTRAL AVE, COOS BAY, OR 97420-1736
(541) 267-4224
(541) 269-7357
Mailing address
PO BOX 329, COOS BAY, OR 97420-0034
(541) 267-4224
(541) 269-7357
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1992ATI
OR
152WC0802X
Corneal and Contact Management Optometrist
1992ATI
OR
152WL0500X
Low Vision Rehabilitation Optometrist
1992ATI
OR
152WP0200X
Pediatric Optometrist
1992ATI
OR
152WS0006X
Sports Vision Optometrist
1992ATI
OR
152WV0400X
Vision Therapy Optometrist
1992ATI
OR
152WX0102X
Occupational Vision Optometrist
1992ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015359
—
OR
Enumeration date
11/27/2007
Last updated
11/06/2008
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