| Aeg Oregon Professional Llc | |
|
990 Broadway St Ne Ste 100, Salem, OR 97301-1396 | |
| (503) 364-0767 | |
| Not Available |
| Full Name | Aeg Oregon Professional Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 990 Broadway St Ne Ste 100, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679253397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | David A Drotzmann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407848476 PECOS PAC ID: 9436141975 Enrollment ID: I20040403000076 |
| Provider Name | Ronald R Guiley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619913944 PECOS PAC ID: 1456451426 Enrollment ID: I20070705000638 |
| Provider Name | Marielle R Kwon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417996976 PECOS PAC ID: 6800826595 Enrollment ID: I20100112000432 |
| Provider Name | Meghan L Malensky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669667143 PECOS PAC ID: 4587708417 Enrollment ID: I20100216000638 |
| Provider Name | Kollan P Arritt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073711222 PECOS PAC ID: 5294859724 Enrollment ID: I20100903000828 |
| Provider Name | Michael A Coffman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982799789 PECOS PAC ID: 3577557354 Enrollment ID: I20101004001481 |
| Provider Name | Lana Trinh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780969832 PECOS PAC ID: 0840512448 Enrollment ID: I20141210001784 |
| Provider Name | Beth Rachel Gabbard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518902089 PECOS PAC ID: 7810996154 Enrollment ID: I20150219001757 |
| Provider Name | Carole Tong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811472749 PECOS PAC ID: 8527496579 Enrollment ID: I20200325001749 |
| Provider Name | Stephanie K Uggen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215562160 PECOS PAC ID: 0345661021 Enrollment ID: I20200604002218 |
| Provider Name | Laura Ozuna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548884158 PECOS PAC ID: 4880086024 Enrollment ID: I20220119002355 |
| Provider Name | Keiji Jay Shiyomura |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609527613 PECOS PAC ID: 6709271943 Enrollment ID: I20220324002054 |
| Provider Name | Katherine Tsui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609629161 PECOS PAC ID: 5991242497 Enrollment ID: I20240801002911 |
| Provider Name | Firas Basha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972854222 PECOS PAC ID: 0648772863 Enrollment ID: I20250908000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Aeg Oregon Professional Llc 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 | Aeg Oregon Professional Llc 990 Broadway St Ne Ste 100, Salem, OR 97301-1396 Ph: (503) 364-0767 |
Eye Focus Northwest Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3816 Center St Ne, Salem, OR 97301 Phone: 503-588-5513 Fax: 503-588-5470 |
Dr. Robert M Paluska, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1309 Liberty St Se, Salem, OR 97302 Phone: 503-585-2022 Fax: 503-378-0797 |
Family Focus Vision Source Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3400 State St, #g-770, Salem, OR 97301 Phone: 503-585-6700 Fax: 503-585-3315 |
Heather Mellen Jensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-361-5400 |
Karen Elaine Cahill, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2400 Lancaster Dr. Ne, Salem, OR 97305 Phone: 503-316-2340 |
Dr. Jordan David Brown, D.O. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1097 Liberty St Se, Salem, OR 97302 Phone: 503-581-4411 Fax: 503-581-4411 |
Michael D Klautzsch Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1810 Summer St Ne, Salem, OR 97301 Phone: 503-364-0767 Fax: 503-581-8340 |