Wellformed AI

NPI 1497152573 · live from the CMS NPI Registry

Cascade Optometry,INC

Optometrist in Roseburg, OR. National Provider Identifier 1497152573, active.

NPI record

NPI1497152573 Type 2 · organization
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location4141 Ne Stephens St, Roseburg, OR 97470
Practice phone541-378-0033
EnumeratedDecember 4, 2014
Last updatedDecember 4, 2014
Authorized officialRebecca Kitchens, President
Other namesCascade Optometry

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000X3159 ATI (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.