Dr. Marie Madonna Peck
Optometrist Pediatric Optomitrist Optomitrist - Corneal and Contact Lenses
2169 14th Ave Se
Albany
, Oregon 97322-8510
Dr. Marie Madonna Peck
Optometrist Pediatric Optomitrist Optomitrist - Corneal and Contact Lenses
2169 14th Ave Se
Albany
, Oregon 97322-8510
(541) 926-5465
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
- Pediatric Optomitrist
Languages spoken
- English
Location
First Address
- Dr. Marie Madonna Peck
- 2169 14th Ave Se
- Albany, OR
- Zip : 97322-8510
- Fax : (541) 926-5465
- Phone : (541) 967-8730
Second Address
- Dr. Marie Madonna Peck
- 2169 14th Ave Se
- Albany, OR
- Zip : 97322-8510
- Fax : (541) 926-5465
- Phone : (541) 967-8730
Reviews
FAQs
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Is Dr. Marie Madonna Peck a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2821T | OR |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2821T | OR |
| N | 152WP0200X | Pediatric Optomitrist | 2821T | OR |
National Provider Identifier
| NPI | 1013062306 |
|---|---|
| Provider Name | Dr. Marie Madonna Peck |
| First Address | Albany, OR 97322-8510 |
| Second Address | Albany, OR 97322-8510 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 10/05/2011 |
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.