Provider Demographics
NPI:1114627940
Name:ERIN FOLLEN OD LLC
Entity Type:Organization
Organization Name:ERIN FOLLEN OD LLC
Other - Org Name:CASCADE EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLLEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:541-382-2020
Mailing Address - Street 1:62968 O B RILEY RD STE 11
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-9443
Mailing Address - Country:US
Mailing Address - Phone:541-382-2020
Mailing Address - Fax:541-382-5004
Practice Address - Street 1:62968 O B RILEY RD STE 11
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-9443
Practice Address - Country:US
Practice Address - Phone:541-382-2020
Practice Address - Fax:541-382-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No332H00000XSuppliersEyewear Supplier