ASHLAND OPTOMETRIC CLINIC PC (NPI# 1073721627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073721627 |
| Entity Type | Organization |
| Organization Name | ASHLAND OPTOMETRIC CLINIC PC |
| Practice Address |
933 Siskiyou Blvd Ashland OR 97520-2143 |
| Practice Telephone | 5414823466 |
| Practice Fax Number | 5414827524 |
| Mailing Telephone | 5414823466 |
| Mailing Fax Number | 5414827524 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH L. HARRIS (PRESIDENT) |
| Authorized Official Telephone | 5414823466 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1278ATI | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 192096 | 05 |
| Street Address |
933 SISKIYOU BLVD |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245294255 | Kenneth Lee Harris | Optometrist | 933 Siskiyou Blvd, Ashland, OR 97520-2143 | 2006-04-14 |
| 1346754413 | Modern Eye Care of Ashland LLC | Optometrist | 933 Siskiyou Blvd, Ashland, OR 97520-2143 | 2017-11-27 |
| 1932330875 | Aaron Lehi Severson | Optometrist | 933 Siskiyou Blvd, Ashland, OR 97520-2143 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264404 | Arash Namiranian | Optometrist | 18 Ashland Woods Ln, Ashland, MA 01721-4418 | 2020-08-04 |
| 1144491788 | David A. Haine, O.d. P.C. | Optometrist | 306 England Street, Ashland, VA 23005-2110 | 2008-03-21 |
| 1548302847 | Corwin James Sateren | Optometrist | 218 Main St W, Ashland, WI 54806-1606 | 2007-02-13 |
| 1366595183 | Ronald Lee Pearce | Optometrist | 1517 and A Half Winchester Av, Ashland, KY 41101 | 2007-01-18 |
| 1174688097 | James William Elliott | Optometrist | 10736 Laurel Ridge Rd, Ashland, KY 41102-8615 | 2006-12-22 |
| 1962570663 | Michael G Hoyt | Optometrist | 215 Fourth St, Ashland, OR 97520-2043 | 2006-12-01 |
| 1275612293 | Eric Neilsen Dukes | Optometrist | 2325 Ashland St, Ashland, OR 97520-1407 | 2006-11-02 |
| 1750491189 | Aristotle J Lysandrou | Optometrist | 451 River Hill Dr, Ashland, KY 41101-7386 | 2006-08-30 |
| 1265548283 | Robert Edward Gregg | Optometrist | 1060 Claremont Ave, Suite #5, Ashland, OH 44805-3715 | 2006-08-22 |
| 1356373856 | Helen Edith Tower | Optometrist | 301 N Washington Hwy, Suite 102, Ashland, VA 23005-1625 | 2006-07-07 |
| Find all providers in ASHLAND | ||||
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| 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.