MEDICARE: ADAMEK VISION CENTER, P.C.

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	3219ATI	OR

General Provider Information

NPI Number	:	1578963328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAMEK VISION CENTER, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 488
Second Line	:
City	:	EAGLE POINT
State	:	OR
Zip	:	97524-0488
Country	:	US
Telephone Number	:	541-776-3718
Fax Number	:

Provider Business Practice Location Address
First Line	:	709 S RIVERSIDE AVE
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97501-7837
Country	:	US
Telephone Number	:	541-776-3718
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES F ADAMEK
Credential	:	OD
Telephone Number	:	541-326-6313

Provider Enumeration Date	:	08/29/2014
Last Update Date	:	08/29/2014

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