Ashland Optometric Clinic Pc

LBN: Ashland Optometric Clinic Pc
Ashland Optometric Clinic Pc is an health care organization with primary practice located at 933 Siskiyou Blvd , Ashland OR 97520-2143. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Ashland Optometric Clinic Pc can be contacted via phone (541) 482-3466, or through Harris, Kenneth L. via phone (541) 482-3466.

Contact Information

Primary practice address
933 Siskiyou Blvd Ashland OR 97520-2143
Phone: (541) 482-3466
Fax: (541) 482-7524
Website:
Map and Directions
Authorized official contact:
Name: Harris, Kenneth L. Doctor of Optometry (OD)
Phone: (541) 482-3466

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1278ATI Oregon

Profile Details

NPI number 1073721627
LBN Legal business name Ashland Optometric Clinic Pc
DBA Doing business as
Authorized official Harris, Kenneth L. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073721627 NPPES
Oregon MEDICAID 192096

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