| Pacific Clear Vision Institute, Pc | |
|
360 S Garden Way Ste 250, Eugene, OR 97401-8175 | |
| (541) 343-0000 | |
| (541) 344-9478 |
| Full Name | Pacific Clear Vision Institute, Pc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 360 S Garden Way Ste 250, Eugene, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699812719 | NPI | - | NPPES |
| 004748000 | Other | OR | BCBS OF OREGON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | MD16207 (Oregon) | Primary |
| Provider Name | Bradley J Lorenzen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639195183 PECOS PAC ID: 4789718149 Enrollment ID: I20100820000319 |
| Provider Name | Robin E Bautista |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710186887 PECOS PAC ID: 9234327396 Enrollment ID: I20120815000656 |
| Provider Name | Balamurali Ambati |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750397576 PECOS PAC ID: 4385721141 Enrollment ID: I20161018000599 |
| Provider Name | Alexandria N Jernberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013501220 PECOS PAC ID: 0941618557 Enrollment ID: I20210420002869 |
| Provider Name | Eric J Niespodzony |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245624782 PECOS PAC ID: 6901118926 Enrollment ID: I20210514000235 |
| Provider Name | Joseph Thomas Mando |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477997591 PECOS PAC ID: 5193031995 Enrollment ID: I20230118000089 |
| Provider Name | Shelley Jelineo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740742758 PECOS PAC ID: 6305170242 Enrollment ID: I20230605000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Clear Vision Institute, Pc 360 S Garden Way Ste 250, Eugene, OR 97401-8175 Ph: (541) 343-0000 | Pacific Clear Vision Institute, Pc 360 S Garden Way Ste 250, Eugene, OR 97401-8175 Ph: (541) 343-0000 |