| Coffman Vision Clinic Inc | |
|
61535 S Highway 97, Ste. 16, Bend, OR 97702-2154 | |
| (541) 389-4774 | |
| (541) 389-3971 |
| Full Name | Coffman Vision Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 61535 S Highway 97, Bend, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811064967 | NPI | - | NPPES |
| 1982799789 | Other | OR | INDIVIDUAL NPI |
| R116227 | Other | OR | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2508T (Oregon) | Primary |
| Provider Name | Ronald R Guiley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619913944 PECOS PAC ID: 1456451426 Enrollment ID: I20070705000638 |
| Provider Name | Michael A Coffman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982799789 PECOS PAC ID: 3577557354 Enrollment ID: I20101004001481 |
| Provider Name | Erin E Follen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255683595 PECOS PAC ID: 6204142136 Enrollment ID: I20150908002532 |
| Provider Name | Tonya R. Hubbard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275580896 PECOS PAC ID: 9133139850 Enrollment ID: I20150917000292 |
| Provider Name | Melissa L Prickett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346423753 PECOS PAC ID: 6204906563 Enrollment ID: I20230103002569 |
| Provider Name | Trevor Lee Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609454891 PECOS PAC ID: 7810352838 Enrollment ID: I20230426003007 |
| Mailing Address | Practice Location Address |
|---|---|
| Coffman Vision Clinic Inc 61535 S Highway 97, Ste. 16, Bend, OR 97702-2154 Ph: (541) 389-4774 | Coffman Vision Clinic Inc 61535 S Highway 97, Ste. 16, Bend, OR 97702-2154 Ph: (541) 389-4774 |
Elena Talea, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1470 Sw Knoll Ave Ste 102, Bend, OR 97702 Phone: 541-797-0295 | |
Eyes In Motion Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20120 Pinebrook Blvd, Bend, OR 97702 Phone: 541-389-2508 Fax: 541-389-2973 | |
Mrs. Elizabeth A Potvin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701 Phone: 541-318-8388 | |
Dr. Joseph J Kvortek, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3044 N Highway 97, Bend, OR 97701 Phone: 541-388-5716 Fax: 541-617-7898 | |
Christopher Carmiencke, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 452 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-382-5701 Fax: 541-382-5702 | |
Dr. Eric Hinds, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 63455 N Highway 97 Ste 75, Bend, OR 97703 Phone: 541-389-5207 | |
Erin Follen Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 62968 O B Riley Rd Ste 11, Bend, OR 97703 Phone: 541-382-2020 Fax: 541-382-5004 |