MEDICARE: PAM EBERT O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3484AT	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R174133	OTHER	OR	PTAN

General Provider Information

NPI Number	:	1124155528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAM EBERT O.D.

Provider Business Mailing Address
First Line	:	1871 2ND ST
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-2121
Country	:	US
Telephone Number	:	541-741-0122
Fax Number	:	541-988-3401

Provider Business Practice Location Address
First Line	:	1871 2ND ST
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-2121
Country	:	US
Telephone Number	:	541-741-0122
Fax Number	:	541-988-3401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	02/12/2026

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1770615205 — DR. GERALD LEE CATES O.D.
Practice Location Address:

1871 2ND ST
SPRINGFIELD, OR
97477-2121

Practice Phone: 541-741-0122
Practice Fax: 541-988-3401

1780845610 — DR. JOANNA M GERVAIS O.D.
Practice Location Address:

1871 2ND ST
SPRINGFIELD, OR
97477-2121

Practice Phone: 541-741-0122
Practice Fax:

1144556655 — JOANNA M GERVAIS OD LLC
Practice Location Address:

1871 2ND ST
SPRINGFIELD, OR
97477-2121

Practice Phone: 541-741-0122
Practice Fax:

1750650131 — PAM EBERT OD LLC
Practice Location Address:

1871 2ND ST
SPRINGFIELD, OR
97477-2121

Practice Phone: 541-741-0122
Practice Fax:

1861454092 — MR. JAMES LYNN CROMWELL MD
Practice Location Address:

2121 EAST HIGH STREET
SPRINGFIELD, OH
45505-1368

Practice Phone: 937-323-6865
Practice Fax: 937-323-1803

Directions to “ PAM EBERT O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.