| Family Vision Of Oregon Pc | |
|
1864 Columbia Blvd, Saint Helens, OR 97051-1733 | |
| (503) 397-2020 | |
| (503) 397-7701 |
| Full Name | Family Vision Of Oregon Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1864 Columbia Blvd, Saint Helens, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952515918 | NPI | - | NPPES |
| 127704 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OR 1494 ATI (Oregon) | Primary |
| Provider Name | Daniel L Mannen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609831973 PECOS PAC ID: 5294808309 Enrollment ID: I20080723000427 |
| Provider Name | Lena H Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831127398 PECOS PAC ID: 4183757909 Enrollment ID: I20100730000640 |
| Provider Name | Thomas Anthony Chewerda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164652590 PECOS PAC ID: 4486788866 Enrollment ID: I20100820000523 |
| Provider Name | Sarah Joy Chewerda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306037098 PECOS PAC ID: 3375737174 Enrollment ID: I20101104001307 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Vision Of Oregon Pc 1864 Columbia Blvd, Saint Helens, OR 97051-1733 Ph: (503) 397-2020 | Family Vision Of Oregon Pc 1864 Columbia Blvd, Saint Helens, OR 97051-1733 Ph: (503) 397-2020 |
Dr. Thomas A Chewerda, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1864 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-2020 Fax: 503-397-7701 | |
Jahaira Lassala, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-4911 | |
Dr. Sarah Chewerda, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1864 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-2020 Fax: 503-397-7701 | |
Dr. Laurel Gillette Mannen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1864 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-396-0928 Fax: 503-397-7701 | |
Dr. Daniel Leroy Mannen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1864 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-2020 Fax: 503-397-7701 | |
George W Curnutt Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2020 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-4911 Fax: 503-397-3986 | |
Dr. Brooks Rodman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-4911 Fax: 503-397-3986 |