EYE CENTER OF BROOKINGS, LLC


Address: 937 Chetco Ave, Brookings, OR 97415
Phone: 5414696923

EYE CENTER OF BROOKINGS, LLC (NPI# 1912010596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912010596
Entity Type Organization
Organization Name EYE CENTER OF BROOKINGS, LLC
Practice Address 937 Chetco Ave
Brookings
OR 97415
Mailing Address Po Box 4005
Brookings
OR 97415-0228
Practice Telephone 5414696923
Practice Fax Number 5414696769
Mailing Telephone 5414696923
Mailing Fax Number 5414696769
Enumeration Date 2006-08-16
Last Update Date 2014-09-10
Authorized Official Name DR. DOUGLAS JOHN WALKER (MEMBER)
Authorized Official Telephone 5414696923
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OR 2740 ATI OR Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 208317 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names EYE CENTER OF BROOKINGS, LLC 648 Chetco Avenue, Brookings, OR 97415

Office Location

Street Address 937 CHETCO AVE
City BROOKINGS
State OR
Zip Code 97415

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033211230 Matthew Scot Richardson Optometrist 937 Chetco Ave, Brookings, OR 97415 2006-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013549575 Christopher Scott Mayo Jr. Denturist 937 Chetco Ave Ste. B, Brookings, OR 97415 2020-02-12
1912564329 Lori A Burkart Speech-Language Pathologist Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 2019-05-21
1881144178 Costa Clinical Psychology, LLC Social Worker 625 Spruce St., # 7666, Brookings, OR 97415 2016-10-11
1194173898 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 410 Maple St, Brookings, OR 97415 2016-06-03
1336595784 Monica Shaw Case Manager/Care Coordinator 412 Alder, Brookings, OR 97415 2016-05-04
1639531437 Ian Leonard Behavioral Analyst 450 Sb Chetco River Road, Brookings, OR 97415 2016-03-22
1518201151 Columbacare Services Community Based Residential Treatment Facility, Mental Illness 210 Cove Lane, Brookings, OR 97415 2012-11-20
1699033365 Sunlight Family Center, LLC Clinic/Center 604 Spruce Street, Brookings, OR 97415 2012-05-01
1649544784 Oregon Coast Wellness Inc. Clinic/Center 648 Chetco Ave., Brookings, OR 97415 2012-03-07
1790072544 Elizabeth A. Nation Registered Nurse 96343 Alder Ridge Road, Brookings, OR 97415 2011-06-30
Find all providers in zip 97415

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730548975 Wyatt Nash-keller Od Prof LLC Optometrist 960 22nd Ave S, Brookings, SD 57006-2830 2016-02-16
1811008493 Ronald Dustin Bodman Optometrist 586 5th St, Suite 300, Brookings, OR 97415-9720 2006-08-31
1699887158 Wayne Robert Paulson Optometrist 586 5th St Ste 300, Brookings, OR 97415-9720 2006-08-31
1174556344 Clayton Paul Twitero Optometrist 2425 6th St, Brookings, SD 57006-1733 2006-07-09
1982673927 Kristin J Gurholt Optometrist 937k Chetco Ave 4005, Brookings, OR 97415 2006-03-14
1922095306 Kristine Gyving Optometrist 325 5th St, Brookings, OR 97415-9658 2005-09-30
1609861608 Jason Jahn Optometrist 1208 22nd Ave S, Brookings, SD 57006-2804 2005-09-15
1902806375 Douglas John Walker Optometrist 937 Chetco Ave Ste K 4005, Brookings, OR 97415 2005-07-28
1447818562 Taylor Allen Kneip Optometrist 2311 Yorkshire Dr, Brookings, SD 57006-2446 2019-06-04
1124371992 Wyatt Nash-keller Optometrist 1208 22nd Ave S, Brookings, SD 57006-2804 2012-10-18
Find all providers in BROOKINGS

Competitor

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City BROOKINGS
Zip Code 97415

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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