MATTHEW D GEORGESON PC NPI 1013162650

Optometrist in Ontario, OR

NPI 1013162650 Organization Optometrist

About MATTHEW D GEORGESON PC

Matthew D Georgeson Pc is a provider established in Ontario, Oregon specializing in optometrist. The NPI number of Matthew D Georgeson Pc is 1013162650 and was assigned on November 2008. The practitioner's primary taxonomy code is 152W00000X with license number 2983AT (OR). The provider is registered as an organization and their NPI record was last updated 13 years ago. Matthew D Georgeson Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Matthew D. Georgeson O.d. (President)

NPI

1013162650

Provider NameMATTHEW D GEORGESON PC
Provider Location Address1775 E IDAHO AVE ONTARIO, OR 97914
Provider Mailing Address1775 E IDAHO AVE ONTARIO, OR 97914
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-24-2008
Last Update Date11-25-2008


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.2983AT
License StateOR
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

MATTHEW D GEORGESON PC
1775 E IDAHO AVE
ONTARIO, OR
ZIP 97914
Phone: (208) 830-2445
Fax: (541) 889-5286

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Mailing Address

MATTHEW D GEORGESON PC
1775 E IDAHO AVE
ONTARIO, OR
ZIP 97914
Phone:



Authorized Official

Authorized Official NameDR. MATTHEW D. GEORGESON O.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(208) 830-2445

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467552299DR. MATTHEW D. GEORGESON O.D.
Individual
Optometrist1775 E IDAHO AVE
ONTARIO, OR 97914
(208) 830-2445
1437567310MRS. CRYSTAL ANGELICA RODRIGUEZ BS,RPH
Individual
Pharmacist1775 E IDAHO AVE
ONTARIO, OR 97914
(541) 889-6040
1578971412 PHILIP STRINGHAM RPH
Individual
Pharmacist1775 E IDAHO AVE
ONTARIO, OR 97914
(541) 889-6040
1588073522 NATHAN TRENT PAGE RPH
Individual
Pharmacist1775 E IDAHO AVE
ONTARIO, OR 97914
(541) 889-6040
1528454527MS. MELISSA TOLLINGER PHARM.D.
Individual
Pharmacist1775 E IDAHO AVE
ONTARIO, OR 97914
(541) 889-6040
1851790091MS. ASHLEY GISSEL RPH
Individual
Pharmacist1775 E IDAHO AVE
ONTARIO, OR 97914
(541) 889-6040
1558778746 TAMI NICOLE THOMPSON PHARMD
Individual
Pharmacist1775 E IDAHO AVE
ONTARIO, OR 97914
(541) 889-6040
1497772537WALMART INC.
Organization
Pharmacy (Community/Retail Pharmacy)1775 E IDAHO AVE
ONTARIO, OR 97914
(541) 889-6040
1992114177MRS. CHRISTY WAGGONER PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1775 E IDAHO AVE
ONTARIO, OR 97914
(541) 889-6040
1841387370WAL-MART STORES, INC
Organization
Technician/Technologist (Optician)1775 E IDAHO AVE
ONTARIO, OR 97914
(541) 889-7400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.