Healthcare Provider Details

I. General information

NPI: 1922156140
Provider Name (Legal Business Name): DRS LOVERCHECK & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S MAIN ST
PENDLETON OR
97801-2243
US

IV. Provider business mailing address

PO BOX 460
PENDLETON OR
97801-0460
US

V. Phone/Fax

Practice location:
  • Phone: 541-276-8474
  • Fax:
Mailing address:
  • Phone: 541-276-8474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. CORRIE B. LOVERCHECK
Title or Position: OWNER
Credential: O.D.
Phone: 541-276-8474