Mark Gotcher OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2529ATI Issued in OR

Legal business name

MARK GOTCHER OD

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

Organization subpart

No

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

Authorized official

Name

Dr. Mark F Gotcher, OD

Title

Owner

Phone

(541) 942-0176

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Eyecare Associates Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy J Arbow, O.D.

  • Optometrist
  • Eugene, OR
  • NPI 1619961422
  NPD (past)
• Jason Michael Newman, M.D.

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1740575091
  NPD (past)
• Judith Regine Sabah, MD

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1831400738
  NPD (past)
• Brittany Brinkley Tatum, O.D.

  • Optometrist
  • Morganton, NC
  • NPI 1265894133
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208414",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas George Maddess, DMD
• Michael D Mahoney
• John Mansfield, R.PH
• Samuel Marcus, BILINGUAL PSS
• Mark B Thomas DC PC
• Stephanie Michelle Marsh
• Therese N Mastin, M.A., QMHP
• Rebecca McBride, APN
• Matthew McCallum
• Julie A McClary

• Optometrist in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Optometrist in Oregon

• 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.