NPI 1639150873 · live from the CMS NPI Registry
Patrick Ayres, O.D.
Optometrist in Bend, OR. National Provider Identifier 1639150873, active.
NPI record
| NPI | 1639150873 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 143 Sw Shevlin-Hixon Dr, #101, Bend, OR 97702 |
| Practice phone | 541-317-9747 |
| Enumerated | November 7, 2005 |
| Last updated | March 14, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3188AT (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.