Jason Bates OD PC

Optometrist · Medford, OR

Organization Active NPI

NPI number 1710179056

Practice location

1600 North Riverside Avenue
Suite 2027
Medford, OR 97501
Phone
(541) 779-9851

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NPI record

NPI
1710179056
Entity type
Organization (Type 2)
Enumeration date
August 10, 2007
Last updated
June 18, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 3136AT OR

Authorized official

Name
Ms. Kathleen L Miller, CCMA-A
Title
Office Manager
Phone
(541) 779-9851

About Jason Bates OD PC

Jason Bates OD PC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1600 North Riverside Avenue, Suite 2027, Medford, OR 97501. The NPI number 1710179056 was assigned on August 10, 2007 and the record was last updated on June 18, 2008.

Jason Bates OD PC lists a license in the registry: #3136AT (OR) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ms. Kathleen L Miller, CCMA-A, Office Manager.

Frequently asked questions

What is the NPI number of Jason Bates OD PC?

The NPI number is 1710179056.

What is the phone number of Jason Bates OD PC?

The phone number listed for the practice location is (541) 779-9851.

Where is Jason Bates OD PC located?

1600 North Riverside Avenue, Suite 2027, Medford, OR 97501.

What is the taxonomy code for Jason Bates OD PC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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