DR. Marie Madonna Peck, OD

NPI #1013062306 in Albany, Oregon

Provider Information

NPI Number: 1013062306
Entity Type: Individual
Name: DR. Marie Madonna Peck, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 24, 2007
Last Updated: May 10, 2011

Practice Location

Address: 2169 14TH AVE SE
City: Albany
State: Oregon
ZIP Code: 97322-8510
Phone: (541) 967-8730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X

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