Elemental Eyecare, PC

NPI #1205078284 in Bend, Oregon

Provider Information

NPI Number: 1205078284
Entity Type: Organization
Organization Name: Elemental Eyecare, PC
Primary Specialty: Optometrist
Enumeration Date: Apr 6, 2009
Last Updated: Aug 15, 2018

Practice Location

Address: 2736 NW CROSSING DR
Address 2: SUITE 120
City: Bend
State: Oregon
ZIP Code: 97701
Phone: (541) 323-3937

Authorized Official

Name: MRS. GABRIELLE WARREN MARSHALL, O.D.
Title: OWNER
Phone: (541) 323-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist	152W00000X	Primary

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