The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1164791414 |
NPI Entity Type | Organization |
Provider Name |
Madras Vision Source Pc
Former Legal Business Name |
Subpart of Organization | Madras Vision Source Pc |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 211 Se 5th St, Madras, OR, US |
Provider Mailing Address | 211 Se 5th St, Madras, OR, US, 97741 |
Gender | Male |
Is Sole Proprietor? | No |
Official Name | OD Jessica Brooke Tegan |
Official Position | OWNER |
Phone | 541-475-2020 |
Taxonomy Code | 193400000X |
Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Taxonomy Code | |
Taxonomy Name | Optometrist |
Classification | |
Group | |
License No. | 3215ATI |
License State | OR |
Description | Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
No |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MS, RD, LD Lucy Ramquist Individual |
2891 Se Division St Apt 2 |
||
DR. PSY.D Thaen Chiam Saelee Individual |
3806 Tillicum Ln |
||
MR. MD Nathaniel Justin Kelly Individual |
Student in an Organized Health Care Education/Training Program |
500 Sw Ramsey |
|
MR. RPH Emmanuel Chukwuemeka Amadi Individual |
7440 N Denver Ave |
||
Chelsea Walker Individual |
2800 Sw Peaceful Ln |
||
Torrey A Thille Individual |
2306 Ne Glisan St Ste 200 |
||
Northern Pediatrics Llc Organization |
850 Ne 122nd Ave |
||
MD Anh Linh Hoang Individual |
850 Ne 122nd Ave |
||
BCBA, LBA Steven Hardy Individual |
1675 Sw Marlow Ave Ste 200 |
||
DR. PHD Mark R Mcminn Individual |
18703 Ne Williamson Rd |
||
Shelby Ramer Individual |
435 Nw 17th St |
||
Karyssa Ann Endecott Individual |
435 Ne Evans St Ste A |
||
FNP-BC Yvonne Renee Martenia Individual |
1819 Nebraska Ave |
||
DR. DMD Rachel Lynn Mendazona Individual |
199 Sw Shevlin Hixon Dr Ste A |
||
Nicolle Asencio Individual |
Student in an Organized Health Care Education/Training Program |
19500 Se Stark St |
|
Talia Elizabeth Miller Individual |
8915 Sw Center St |
||
MD Sherilyn M Destefano Individual |
4411 Sw Vermont St |
||
The Counseling Place Llc Organization |
745 Cleveland St |
||
PA-C Sara J Wright Individual |
7033 Ne Sandy Blvd |
||
LCSW Victoria Harris Individual |
2650 Suzanne Way Ste 120 |
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