Provider Demographics
NPI:1578963328
Name:ADAMEK VISION CENTER, P.C.
Entity Type:Organization
Organization Name:ADAMEK VISION CENTER, P.C.
Other - Org Name:RIVERSIDE VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:ADAMEK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:541-326-6313
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:EAGLE POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97524-0488
Mailing Address - Country:US
Mailing Address - Phone:541-776-3718
Mailing Address - Fax:
Practice Address - Street 1:709 S RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-7837
Practice Address - Country:US
Practice Address - Phone:541-776-3718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3219ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty