Madras Vision Source PC

NPI #1164791414 in Madras, Oregon

Provider Information

NPI Number: 1164791414
Entity Type: Organization
Organization Name: Madras Vision Source PC
Subpart: Yes (part of a larger organization)
Parent Organization: MADRAS VISION SOURCE PC
Primary Specialty: Optometrist
Enumeration Date: Dec 15, 2011
Last Updated: May 17, 2022

Practice Location

Address: 211 SE 5TH ST
City: Madras
State: Oregon
ZIP Code: 97741
Phone: (541) 475-2020

Authorized Official

Name: JESSICA BROOKE TEGAN, OD
Title: OWNER
Phone: (541) 475-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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DR. Curtis L Dix, O.D. PC	Optometrist	Madras	AI Deep Dive
Jessica Brooke Tegen, OD	Optometrist	Madras	AI Deep Dive
DR. Dana A Mclaughlin, O.D.	Optometrist	Salem	AI Deep Dive

Organizations

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Central Oregon Eyecare, PC	Optometrist	Madras	AI Deep Dive
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