Mark Gotcher Od is a
Optometrist based in Cottage Grove, Oregon. Mark Gotcher Od is licensed to practice in Oregon (license number 2529ATI) and their current practice location is
315 S Pacific Hwy 99, Cottage Grove, Oregon. It can be reached at their office (for appointments etc.) via phone at
(541) 942-0176.
NPI number for Mark Gotcher Od is 1063609063 and their current mailing address is Po Box 626, Cottage Grove, Oregon. Mark Gotcher Od
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1063609063.
Healthcare Provider's Profile
| Full Name | Mark Gotcher Od |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 315 S Pacific Hwy 99, Cottage Grove, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063609063
- Provider Enumeration Date: 10/03/2007
- Last Update Date: 04/17/2008
Medical Identifiers
Medical identifiers for Mark Gotcher Od such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063609063 | NPI | - | NPPES |
| 208414 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2529ATI (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Gotcher Od is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Gotcher Od
Po Box 626,
Cottage Grove, OR 97424-0027
Ph: (541) 942-0176 | Mark Gotcher Od
315 S Pacific Hwy 99,
Cottage Grove, OR 97424-2137
Ph: (541) 942-0176 |
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