| Ochoco Vision Source Llp | |
|
340 Nw Beaver St, Prineville, OR 97754-1836 | |
| (541) 416-2020 | |
| (541) 447-2608 |
| Full Name | Ochoco Vision Source Llp |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 340 Nw Beaver St, Prineville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134172687 | NPI | - | NPPES |
| 276135 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Gretchen Irene Chadwick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811940778 PECOS PAC ID: 9537155338 Enrollment ID: I20040427000121 |
| Provider Name | Allan J Hudson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639122526 PECOS PAC ID: 7719973510 Enrollment ID: I20040427000144 |
| Provider Name | Kilah Atkinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497057459 PECOS PAC ID: 0941483978 Enrollment ID: I20120410000179 |
| Provider Name | Audrey H Brumley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457790248 PECOS PAC ID: 8729220645 Enrollment ID: I20130806000272 |
| Provider Name | Karisa M Cervantes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275225302 PECOS PAC ID: 5092151217 Enrollment ID: I20240311002450 |
| Mailing Address | Practice Location Address |
|---|---|
| Ochoco Vision Source Llp 340 Nw Beaver St, Prineville, OR 97754-1836 Ph: (541) 416-2020 | Ochoco Vision Source Llp 340 Nw Beaver St, Prineville, OR 97754-1836 Ph: (541) 416-2020 |
Alexander Cheslock, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 198 Ne Combs Flat Rd Ste 120, Prineville, OR 97754 Phone: 541-447-5133 | |
Central Oregon Eyecare, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 Phone: 541-447-5133 Fax: 541-447-6891 |