Coos Eye Centers Inc
A Medicare group practice based in Coquille, OR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0547254724), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0547254724
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- OR
- Enrollments
- 4
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040412000538 | OR | Part B Supplier - Clinic/Group Practice | 1508069428 |
| O20100930002381 | OR | DME Supplier - Physician - Optometrist | 1518158500 |
| O20100930039963 | OR | DME Supplier - Physician - Optometrist | 1508069428 |
| O20230605003046 | OR | DME Supplier - Physician - Optometrist | 1275265795 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Gold Beach, OR2
- Bandon, OR2
- Coquille, OR2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).
-
Ashley Nicole Calvert, OD
- Optometrist
- Astoria, OR
- NPI 1104486356
-
Morgan Grove, OD
- Optometrist
- Coquille, OR
- NPI 1598114340
-
John B. Rush, O.D.
- Optometrist
- Gold Beach, OR
- NPI 1568483147
-
Nicole A Rush, OD
- Optometrist
- Bandon, OR
- NPI 1467400952
-
Shaina Marie Sullivan
- Optometrist
- Beaverton, OR
- NPI 1730644790
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.