Whalio Doctors

NPI 1396367470

Pacific Eye Group, PC

Organisation Optometrist Medford, OR

Practice location

Address
1600 N Riverside Ave, Medford, OR 97501-4652
Phone
(541) 779-9851
Fax
(541) 776-6962
Mailing address
175 E Houston St, San Antonio, TX 78205-2255

Authorised official

Name
Dolsie McDonald
Title
Credentialing Manager
Phone
(726) 444-4078

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X

Registry record

NPI
1396367470
Entity type
Organization
NPI issued
12 May 2020
Record last updated
12 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.