Provider Demographics
NPI:1013268242
Name:EYECARE FOCUS AND SPECIALTIES LLC
Entity Type:Organization
Organization Name:EYECARE FOCUS AND SPECIALTIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:OILAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-609-5071
Mailing Address - Street 1:1611 J ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-4252
Mailing Address - Country:US
Mailing Address - Phone:541-726-5055
Mailing Address - Fax:541-747-5440
Practice Address - Street 1:1611 J ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4252
Practice Address - Country:US
Practice Address - Phone:541-726-5055
Practice Address - Fax:541-747-5440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3595AT261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center