| Coos Eye Centers, Inc. | |
| 855 W Central St, Coquille, OR 97423-1290 | |
| (541) 396-4042 | |
| Not Available | 
| Full Name | Coos Eye Centers, Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 855 W Central St, Coquille, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508069428 | NPI | - | NPPES | 
| 287017 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 2856ATI (Oregon) | Primary | 
| Provider Name | Nicole Rush | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1467400952 PECOS PAC ID: 5799779971 Enrollment ID: I20100428000417 | 
| Provider Name | John Benjamin Rush | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1568483147 PECOS PAC ID: 9032122668 Enrollment ID: I20101021000886 | 
| Provider Name | Morgan Josie Grove | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1598114340 PECOS PAC ID: 3678860723 Enrollment ID: I20161122002444 | 
| Provider Name | Ashley Nicole Calvert | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1104486356 PECOS PAC ID: 4486981867 Enrollment ID: I20190903001935 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Coos Eye Centers, Inc. Po Box 489, Coquille, OR 97423-0489 Ph: (541) 396-4042 | Coos Eye Centers, Inc. 855 W Central St, Coquille, OR 97423-1290 Ph: (541) 396-4042 | 
| Dr. John Paul Reslock, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 855 W Central St, Coquille, OR 97423 Phone: 541-396-4042 Fax: 541-396-6507 | |
| Morgan Grove, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 855 W Central Blvd Ste A, Coquille, OR 97423 Phone: 541-396-4042 |