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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK GOTCHER, O.D.

Active Sole Proprietor

MARK GOTCHER, O.D. is a Optometrist healthcare provider located in COTTAGE GROVE, Oregon. NPI 1588646673 is currently active in the NPPES registry. Verify at CMS.

Optometrist · COTTAGE GROVE, OR

Registration Details

NPI Number
1588646673
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2005 (20.772248665494 yrs)
Last Updated
Oct 29, 2007
License
2529AT (OR)
Sole Proprietor
Yes

Practice Information

Address
315 S PACIFIC HWY 99
COTTAGE GROVE, OR, 974242137
Browse OR providers · Browse ZIP 97424
Phone
5419420176
Fax
5419420177
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.