EYE SURGERY CENTER; NPI #1659409241

Contact Information

EYE SURGERY CENTER

1408 E BARNETT RD
MEDFORD, OR 97504

Phone: 541-779-2020
Fax: 541-770-6838
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for EYE SURGERY CENTER

NPI Number 1659409241

LBN Legal business name EYE SURGERY CENTER

Authorized official JANICE BOUCHER - (BUSINESS MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/02/2007

Last updated 09/18/2020 - About 6 years ago

Identifiers

OR	License #	07-1500
OR	Medicaid	110684

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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