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Madras Vision Source PC

Optometrist in Madras, OR · enumerated 2011 · authorized official Jessica Tegan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164791414

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Registry record

Entity type Organization (Type 2)
Legal business name Madras Vision Source PC
Other name <Unavail>
Parent organization Madras Vision Source PC
Practice address 211 Se 5th St, Madras, OR, 97741
Phone (541) 475-2020
Fax (541) 475-6118
Enumeration date Dec 15, 2011
Last updated in NPPES May 17, 2022

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 3215ATI (OR) Primary

Authorized official

Name Jessica Tegan
Title Owner
Phone (541) 475-2020

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Madras Vision Source PC?
The NPI for Madras Vision Source PC is 1164791414, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Madras Vision Source PC?
NPPES lists Jessica Tegan (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-17.