Organization Name: | SILVERTON EYE CARE LLC |
NPI Number: | 1003215807 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEIRSTEN DANEE EAGLES (OWNER) |
Mailing Address: | 114 W Main St Silverton |
State: | OR US |
Postal Code: | 973812019 |
Phone Number: | 5038732788 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2014 |
NPI Last Update Date: | 08/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WP0200X |
License Number: | 3228ATI |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |