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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