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Contact Information

ESTACADA EYECARE PC
405 NE MAIN ST
ESTACADA, OR97023-8528
 Phone: 503-630-3528
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ESTACADA EYECARE PC

NPI # 1639822521
LBN Legal business name ESTACADA EYECARE PC
Authorized official AMRITA KANG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2022
Last updated 11/19/2024 - More than a year ago
Identifiers
OR Medicaid 1508210139
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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