Elemental Eyecare, Pc

LBN: Elemental Eyecare, Pc
Elemental Eyecare, Pc is an health care organization with primary practice located at 2736 Nw Crossing Dr Suite 120, Bend OR 97701. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Elemental Eyecare, Pc can be contacted via phone (541) 323-3937, or through Marshall, Gabrielle Warren via phone (541) 323-3937.

Contact Information

Primary practice address
2736 Nw Crossing Dr Suite 120 Bend OR 97701
Phone: (541) 323-3937
Fax: (541) 323-3938
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Gabrielle Warren Doctor of Optometry (OD)
Phone: (541) 323-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2635 ATI Oregon
Eye and Vision Services Providers / Pediatrics 152WP0200X 2635 ATI Oregon
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2635 ATI Oregon
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1205078284
LBN Legal business name Elemental Eyecare, Pc
DBA Doing business as
Authorized official Marshall, Gabrielle Warren Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2009
Last updated Aug 15th, 2018 - about 8 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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