NPIMap

Organization Active NPI

Mark Gotcher OD

Doing business as Advanced Eyecare Associates

  • Optometrist
  • Cottage Grove, OR
National Provider Identifier
1063609063
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2529ATI Issued in OR
Legal business name
MARK GOTCHER OD
Doing business as
Advanced Eyecare Associates
Practice address
315 S Pacific Hwy 99
Cottage Grove, OR 97424-2137
Phone
(541) 942-0176
Fax
(541) 942-0177
NPI assigned
Oct 3, 2007
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark F Gotcher, ODNPI 1588646673
Title
Owner
Phone
(541) 942-0176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2529ATI OR Primary

Addresses

Primary practice location

315 S Pacific Hwy 99
Cottage Grove, OR 97424-2137

Mailing address

PO Box 626
Cottage Grove, OR 97424-0027
Phone (541) 942-0176

Other names 1

  • Advanced Eyecare Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1063609063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974240027",
            "telephone_number": "541-942-0176",
            "fax_number": "541-942-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S PACIFIC HWY 99",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242137",
            "telephone_number": "541-942-0176",
            "fax_number": "541-942-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GOTCHER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "GOTCHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-942-0176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2529ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottage Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.