NPI 1013062306

Marie Madonna Peck, OD

Practitioner Optometrist Albany, OR

Practice location

Address: 2169 14th Ave SE, Albany, OR 97322-8510
Phone: (541) 967-8730
Fax: (541) 926-5465

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2821T (OR)

Other Optometrist providers in Oregon →

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 2821T (OR)

Pediatric Optometrist

Eye and Vision Services Providers Taxonomy 152WP0200X Licence 2821T (OR)

Registry record

NPI: 1013062306
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2007
Record last updated: 10 May 2011

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.