Provider Demographics
NPI:1922156140
Name:DRS LOVERCHECK & ASSOCIATES PC
Entity Type:Organization
Organization Name:DRS LOVERCHECK & ASSOCIATES PC
Other - Org Name:PENDLETON VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORRIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:LOVERCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:541-276-8474
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-0460
Mailing Address - Country:US
Mailing Address - Phone:541-276-8474
Mailing Address - Fax:
Practice Address - Street 1:225 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2243
Practice Address - Country:US
Practice Address - Phone:541-276-8474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORX72276Medicare UPIN
OR5668580001Medicare NSC
OR113613Medicare ID - Type Unspecified