COOS EYE CENTERS, INC. (NPI# 1518158500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518158500 |
| Entity Type | Organization |
| Organization Name | COOS EYE CENTERS, INC. |
| Other Organization Name | BANDON VISION CENTER |
| Practice Address |
1095 Alabama Avenue Bandon OR 97411 |
| Mailing Address |
Po Box 956 Bandon OR 97411-0956 |
| Practice Telephone | 5413473622 |
| Practice Fax Number | 5413472872 |
| Mailing Telephone | 5413473622 |
| Mailing Fax Number | 5413472872 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Authorized Official Name | DR. NICOLE RUSH ERENFELD (OWNER) |
| Authorized Official Telephone | 5413473622 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2856ATI | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287009 | 05 |
| Other Name | Type Code |
|---|---|
| Bandon Vision Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508069428 | Coos Eye Centers, Inc. | Optometrist | 855 W Central St, Coquille, OR 97423-1290 | 2007-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COOS EYE CENTERS, INC. | 395 2nd Street Se, Bandon, OR 97411 |
| Street Address |
1095 ALABAMA AVENUE |
| City | BANDON |
| State | OR |
| Zip Code | 97411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756340 | Carl John Moehring | Internal Medicine | 2840 Beach Loop Dr. Sw, Bandon, OR 97411 | 2015-12-28 |
| 1841692969 | Bandon Senior Living LLC | Assisted Living Facility | 1000 6th Ave West, Bandon, OR 97411 | 2014-09-19 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1063756401 | Bandon Coastal Dental, LLC | Clinic/Center | 1097 Baltimore Ave, Bandon, OR 97411 | 2012-11-26 |
| 1114205028 | James Ryan Surface | Dentist | 1275 Oregon Ave., Bandon, OR 97411 | 2011-07-26 |
| 1790083509 | William M. Soper, Dds | Preferred Provider Organization | 1275 Oregon Ave, Bandon, OR 97411 | 2011-03-02 |
| 1285860635 | Sharen C. Strong | Dentist | 155 Delaware Ave, Bandon, OR 97411 | 2009-05-29 |
| 1043432040 | Michael Brent Currie | Chiropractor | 55416 Melton Road, Bandon, OR 97411 | 2007-05-02 |
| 1619098167 | Susan Lynn Dimock | Social Worker | 1212 Alabama St, Suite 27, Bandon, OR 97411 | 2007-04-03 |
| 1700951928 | Rosemary Winifred Bean | Registered Nurse | 89755 Medohill Ln, Bandon, OR 97411 | 2006-11-22 |
| Find all providers in zip 97411 | ||||
| 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 |
|---|---|---|---|---|
| 1740849199 | Kevie Kawasaki | Optometrist | 395 2nd St Se, Bandon, OR 97411-9605 | 2019-06-10 |
| 1467400952 | Nicole A Rush | Optometrist | 1095 Alabama Ave., Bandon, OR 97411 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080105 | Quest Mobile Vision | Optometrist | 1900 E Fulton St, Newberg, OR 97132-1806 | 2020-10-16 |
| 1376141754 | Aa Vision Corporation | Optometrist | 2474 Se Burnside Rd, Gresham, OR 97080-1247 | 2020-10-16 |
| 1578170387 | Zachary Willits | Optometrist | 8495 Crater Lake Hwy Bldg 212, White City, OR 97503-3011 | 2020-09-25 |
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1477175453 | Pacific Eye Group, PC | Optometrist | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005-1347 | 2020-05-12 |
| 1063034148 | Pacific Eye Group, PC | Optometrist | 10104 Sw Washington Square Rd Spc A02, Tigard, OR 97223-4457 | 2020-05-12 |
| 1457973992 | Tammy T Nguyen | Optometrist | 16801 Se Davidoff Way, Damascus, OR 97089-5801 | 2020-05-07 |
| 1629698642 | Prashna Mistry | Optometrist | College of Optometry, 2043 College Way, Forest Grove, OR 97116-1797 | 2020-04-20 |
| 1376162008 | Eyestrong, LLC | Optometrist | 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 | 2020-04-13 |
| 1740816768 | Allison Kuo | Optometrist | 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
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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.