Amanda Marie Balsalobre
Optomitrist - Corneal and Contact Lenses
762 E 13th Ave
Eugene
, Oregon 97401-3778
Amanda Marie Balsalobre
Optomitrist - Corneal and Contact Lenses
762 E 13th Ave
Eugene
, Oregon 97401-3778
(541) 556-8445
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Amanda Marie Balsalobre
- 19711 Dartmouth Ave
- Bend, OR
- Zip : 97702-3007
- Phone : (541) 556-8445
Second Address
- Amanda Marie Balsalobre
- 762 E 13th Ave
- Eugene, OR
- Zip : 97401-3778
- Fax : (541) 484-5578
- Phone : (541) 343-3333
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Is Amanda Marie Balsalobre a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3119T | OR |
National Provider Identifier
| NPI | 1184615981 |
|---|---|
| Provider Name | Amanda Marie Balsalobre |
| First Address | Bend, OR 97702-3007 |
| Second Address | Eugene, OR 97401-3778 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2005 |
| Last Update Date | 29/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V06044 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.