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Organization

KLAMATH OPHTHALMOLOGY PC

Active
Other names
Benson Eye Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK TERRENCE FAY MD (OWNER)
(541) 884-3148
Entity
Organization

Contact information

Practice address
2615 ALMOND ST, KLAMATH FALLS, OR 97601-1176
(541) 883-3688
(541) 883-3687
Mailing address
2640 BIEHN ST, SUITE 3, KLAMATH FALLS, OR 97601-1181
(541) 884-3148
(541) 884-3373

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
057232
OR
Enumeration date
04/03/2013
Last updated
04/03/2013
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