| All Family Vision Llc | |
|
1597 Sw 53rd St, Corvallis, OR 97333-2630 | |
| (541) 757-8844 | |
| Not Available |
| Full Name | All Family Vision Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1597 Sw 53rd St, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255600763 | NPI | - | NPPES |
| R163171 | Other | OR | MEDICARE PTAN |
| R163394 | Other | OR | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3307ATI (Oregon) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | 2515T (Oregon) | Primary |
| Provider Name | Justin T Heintz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548499882 PECOS PAC ID: 7113056094 Enrollment ID: I20100602000826 |
| Provider Name | Michael D Klautzsch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164601167 PECOS PAC ID: 0547384836 Enrollment ID: I20100824000477 |
| Provider Name | Kelly Shannon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760937510 PECOS PAC ID: 3375830425 Enrollment ID: I20160919000012 |
| Provider Name | Nathaniel Roland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811981624 PECOS PAC ID: 8527018308 Enrollment ID: I20161123001330 |
| Provider Name | Jason Minh Ngo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952857989 PECOS PAC ID: 2466717731 Enrollment ID: I20200313001992 |
| Provider Name | Rebecca Macdow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083391890 PECOS PAC ID: 6709247281 Enrollment ID: I20230731003420 |
| Provider Name | Matthew Pierson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225710767 PECOS PAC ID: 4082077912 Enrollment ID: I20230825000609 |
| Mailing Address | Practice Location Address |
|---|---|
| All Family Vision Llc 1597 Sw 53rd St, Corvallis, OR 97333-2630 Ph: (541) 757-8844 | All Family Vision Llc 1597 Sw 53rd St, Corvallis, OR 97333-2630 Ph: (541) 757-8844 |
Dr. Douglas Patrick Crotty, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Sw 3rd St, Corvallis, OR 97333 Phone: 541-757-1120 Fax: 541-757-9741 | |
Carli Anne Bunn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Nw Century Dr, Corvallis, OR 97330 Phone: 541-752-4622 | |
Rebecca Macdow, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1597 Sw 53rd St, Corvallis, OR 97333 Phone: 541-757-8844 Fax: 541-754-9810 | |
Lisa Fougere Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1329 Nw 9th St Ste 135, Corvallis, OR 97330 Phone: 541-220-1200 Fax: 541-225-4705 | |
Dr. James Ross Hale, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1505 Nw Harrison Blvd, Corvallis, OR 97330 Phone: 541-754-6222 Fax: 541-757-2055 | |
Mr. Matthew Pierson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1597 Sw 53rd St, Corvallis, OR 97333 Phone: 541-757-8844 | |
Corvallis Vision Cneter P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Sw 3rd St, Corvallis, OR 97333 Phone: 541-757-1120 Fax: 541-757-9741 |