Provider Demographics
NPI:1932129541
Name:BALCER, DARCY CHRISTINE (OD)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:CHRISTINE
Last Name:BALCER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:CHRISTINE
Other - Last Name:SCHEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1501 NE MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6051
Mailing Address - Country:US
Mailing Address - Phone:541-382-2811
Mailing Address - Fax:
Practice Address - Street 1:1501 NE MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6051
Practice Address - Country:US
Practice Address - Phone:541-382-2811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3179ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR213177Medicaid
OR00397412OtherMEDICARE RAILROAD
V10536Medicare UPIN
OR213177Medicaid