Pam Ebert OD LLC
Clinic/Center · Springfield, OR
Practice location
1871 2ND StSpringfield, OR 97477-2121
- Phone
- (541) 741-0122
NPI record
- NPI
- 1750650131
- Entity type
- Organization (Type 2)
- Enumeration date
- December 14, 2011
- Last updated
- June 29, 2015
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X |
3484AT | OR |
Authorized official
- Name
- Dr. Pam Ebert, OD
- Title
- Owner
- Phone
- (541) 741-0122
Other names
- Custom Eyes
About Pam Ebert OD LLC
Pam Ebert OD LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 1871 2ND St, Springfield, OR 97477-2121. The NPI number 1750650131 was assigned on December 14, 2011 and the record was last updated on June 29, 2015.
Pam Ebert OD LLC lists a license in the registry: #3484AT (OR) for Clinic/Center. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Pam Ebert, OD, Owner.
Frequently asked questions
What is the NPI number of Pam Ebert OD LLC?
The NPI number is 1750650131.
What is the phone number of Pam Ebert OD LLC?
The phone number listed for the practice location is (541) 741-0122.
Where is Pam Ebert OD LLC located?
1871 2ND St, Springfield, OR 97477-2121.
What is the taxonomy code for Pam Ebert OD LLC?
The primary taxonomy code is 261Q00000X – Clinic/Center.
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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