| Coastal Eyecare Tillamook Llc | |
|
102 Main Ave, Tillamook, OR 97141-2218 | |
| (503) 374-0399 | |
| (503) 374-0374 |
| Full Name | Coastal Eyecare Tillamook Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Medical Specialty |
| Location | 102 Main Ave, Tillamook, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295210011 | NPI | - | NPPES |
| Provider Name | Darren L Thorsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720082415 PECOS PAC ID: 4587556774 Enrollment ID: I20040324001732 |
| Provider Name | John G Dodd |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215190400 PECOS PAC ID: 9133397540 Enrollment ID: I20110728000647 |
| Provider Name | Erika C Bury |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912315581 PECOS PAC ID: 4183921612 Enrollment ID: I20160329002154 |
| Provider Name | Ashley Nicole Calvert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104486356 PECOS PAC ID: 4486981867 Enrollment ID: I20190903001935 |
| Provider Name | Shaina Hai Chan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578185005 PECOS PAC ID: 4385061001 Enrollment ID: I20200826002572 |
| Provider Name | Krista Ann Tomlinson Coontz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740858737 PECOS PAC ID: 4284034778 Enrollment ID: I20210622000009 |
| Provider Name | Laura Irene Bowitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881215465 PECOS PAC ID: 1759705791 Enrollment ID: I20220504000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Eyecare Tillamook Llc 819 S Holladay Dr, Seaside, OR 97138-6608 Ph: (503) 738-5361 | Coastal Eyecare Tillamook Llc 102 Main Ave, Tillamook, OR 97141-2218 Ph: (503) 374-0399 |