| Eyecare Center Of Salem, Llc | |
|
660 Capitol St Ne, Salem, OR 97301 | |
| (503) 364-0512 | |
| (503) 588-7108 |
| Full Name | Eyecare Center Of Salem, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 660 Capitol St Ne, 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 |
|---|---|---|---|
| 1972629293 | NPI | - | NPPES |
| 0434300001 | Other | OR | CIGNA MEDICARE |
| T67431 | Other | OR | UPIN |
| 11376-1 | Medicaid | OR | |
| 1472ATI | Other | OR | LICENSE |
| 807522000 | Other | OR | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1472ATI (Oregon) | Primary |
| Provider Name | Gregory G Kautz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114934247 PECOS PAC ID: 5991764458 Enrollment ID: I20041008001036 |
| Provider Name | Daniel D Bishop |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740279793 PECOS PAC ID: 4688614936 Enrollment ID: I20050506000010 |
| Provider Name | Gregory Andrew Lemay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912559238 PECOS PAC ID: 4880921725 Enrollment ID: I20190814003734 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Center Of Salem, Llc 1415 Capitol St Ne, Salem, OR 97301-2504 Ph: (503) 364-0512 | Eyecare Center Of Salem, Llc 660 Capitol St Ne, Salem, OR 97301 Ph: (503) 364-0512 |
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 |