Provider Demographics
NPI:1912392689
Name:OASIS EYE PC
Entity Type:Organization
Organization Name:OASIS EYE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-708-6393
Mailing Address - Street 1:251 MAPLE ST.
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1515
Mailing Address - Country:US
Mailing Address - Phone:541-708-6393
Mailing Address - Fax:844-373-1899
Practice Address - Street 1:251 MAPLE ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1515
Practice Address - Country:US
Practice Address - Phone:541-708-6393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD157237207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORMD157237OtherOR MD
CAC53784OtherCA MD
VA344067OtherANTHEM SERVICES
VAP00480800Medicare PIN
VA015518046Medicare PIN
VA344067OtherANTHEM SERVICES