Coos Bay Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COOS BAY VISION CENTER, LLC

Practice address

986 Central Ave
Coos Bay, OR 97420-1736

Phone

(541) 267-4224

Fax

(541) 269-7357

NPI assigned

May 21, 2026

Last updated

May 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole A Rush, O.D.

Title

Optometrist/Owner

Phone

(541) 247-7212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1235069287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 CENTRAL AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201736",
            "telephone_number": "541-267-4224",
            "fax_number": "541-269-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 CENTRAL AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201736",
            "telephone_number": "541-267-4224",
            "fax_number": "541-269-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOS BAY VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "541-247-7212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coos Bay School District 9
• Coos Bay Vision Center, Inc
• Coos Clinic LLC (Coos Clinic)
• Coos County Oregon
• Coos County Oregon
• Coos County Oregon (Coos Health & Wellness)
• Coos Radiosurgery Group LLC

• Optometrist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.