Provider Demographics
NPI:1467127746
Name:OPTOMETRIC CARE OF OREGON
Entity Type:Organization
Organization Name:OPTOMETRIC CARE OF OREGON
Other - Org Name:EUGENE EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:541-338-4844
Mailing Address - Street 1:3333 QUALITY DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7985
Mailing Address - Country:US
Mailing Address - Phone:916-858-5656
Mailing Address - Fax:
Practice Address - Street 1:207 COBURG RD STE 105
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5601
Practice Address - Country:US
Practice Address - Phone:541-338-4844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPTOMETRIC CARE OF OREGON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-10
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty