NPI 1053684597 · live from the CMS NPI Registry
Central Oregon Eyecare, PC
Optometrist in Sisters, OR. National Provider Identifier 1053684597, active.
NPI record
| NPI | 1053684597 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 625 N Arrowleaf Trail, Ste 103, Sisters, OR 97759 |
| Practice phone | 541-549-2105 |
| Mailing address | 1000 Sw Indian Avenue, Redmond, OR 97756 |
| Enumerated | February 14, 2012 |
| Last updated | September 10, 2015 |
| Authorized official | Todd Sheldon, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2823ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.