| Family Eye Center Pa | |
|
1257 Sw 4th Ave, Ontario, OR 97914-4516 | |
| (541) 889-2191 | |
| (541) 881-1523 |
| Full Name | Family Eye Center Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1257 Sw 4th Ave, Ontario, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477704310 | NPI | - | NPPES |
| V7420 | Other | ID | BLUE CROSS |
| 807822301 | Medicaid | ID | |
| 000010015308 | Other | ID | REGENCE |
| 3331507 | Other | ID | IDAHO PHYSICIAN'S NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-100098 (Idaho) | Secondary |
| 152W00000X | Optometrist | 3386AT (Oregon) | Primary |
| Provider Name | Randy H Norris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619928587 PECOS PAC ID: 0244130045 Enrollment ID: I20071127000087 |
| Provider Name | Ben J Judson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861621104 PECOS PAC ID: 9335287150 Enrollment ID: I20120823000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Eye Center Pa 1257 Sw 4th Ave, Ontario, OR 97914-4516 Ph: (541) 889-2191 | Family Eye Center Pa 1257 Sw 4th Ave, Ontario, OR 97914-4516 Ph: (541) 889-2191 |
Matthew D Georgeson Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1775 E Idaho Ave, Ontario, OR 97914 Phone: 208-830-2445 Fax: 541-889-5286 | |
Dr. Lacie Catherine Spagnola, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1257 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2191 Fax: 541-881-1523 | |
Dr. Randy H Norris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1257 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2191 Fax: 541-881-1523 | |
Dr. Ben Joseph Judson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1257 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2191 Fax: 541-881-1523 | |
Ann A Easly Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 279 Sw 10th St, Ontario, OR 97914 Phone: 541-889-2020 | |
Dr. Kreyton Dirk Jackson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 279 Sw 10th St, Ontario, OR 97914 Phone: 541-889-2020 Fax: 541-889-9675 |