ELEMENTAL EYECARE PC NPI 1205078284

NPI Information

  • NPI: 1205078284
  • Provider Name: ELEMENTAL EYECARE, PC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Address: 2736 NW CROSSING DR
    SUITE 120
    BEND, OR
    ZIP 97701
  • Phone: (541) 323-3937

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NPI Details

ELEMENTAL EYECARE, PC 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. ELEMENTAL EYECARE, PC NPI is 1205078284. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2736 NW CROSSING DR
SUITE 120
BEND, OR
ZIP 97701
Phone: (541) 323-3937
Fax: (541) 323-3938

The provider's authorized official is Gabrielle Warren Marshall .
The authorized official title is Owner and has the following contact phone number (541) 323-3937.

The enumeration date for this NPI number is 4/6/2009 and was last updated on 8/15/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WP0200XOptometristPediatrics2635 ATIOREGONNo
2152WV0400XOptometristVision Therapy2635 ATIOREGONNo
3332H00000XEyewear SupplierNo
4152W00000XOptometrist2635 ATIOREGONYes

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: 3/30/2025

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