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COFFMAN VISION CLINIC INC NPI 1811064967


NPI Information

NPI: 1811064967
Provider Name: COFFMAN VISION CLINIC INC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
61535 S HIGHWAY 97
STE. 16
BEND, OR
ZIP 97702
Phone: (541) 389-4774
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COFFMAN VISION CLINIC INC is an optometrist in Bend, OR. The provider is 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. COFFMAN VISION CLINIC INC NPI is 1811064967. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

61535 S HIGHWAY 97
STE. 16
BEND, OR
ZIP 97702-154
Phone: (541) 389-4774
Fax: (541) 389-3971

The provider's authorized official is Michael A Coffman .
The authorized official title is President and has the following contact phone number (541) 389-4774.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 4/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist2508TOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11982799789OTHEROREGONINDIVIDUAL NPI
2U57408MEDICARE UPINOREGON
35105820001MEDICARE ID-TYPE UNSPECIFIEDOREGON
4R116227OTHEROREGONMEDICARE GROUP #
5R116234MEDICARE ID-TYPE UNSPECIFIEDOREGONPROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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