Provider Demographics
NPI:1194774224
Name:FOLEY, MARGARET A (OD FCOVD PC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:FOLEY
Suffix:
Gender:F
Credentials:OD FCOVD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 OAKMONT WAY
Mailing Address - Street 2:STE 1
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5524
Mailing Address - Country:US
Mailing Address - Phone:541-342-4243
Mailing Address - Fax:541-284-2958
Practice Address - Street 1:2260 OAKMONT WAY
Practice Address - Street 2:STE 1
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5524
Practice Address - Country:US
Practice Address - Phone:541-342-4243
Practice Address - Fax:541-284-2958
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2094T152W00000X, 152WC0802X, 152WP0200X, 152WS0006X, 152WV0400X, 152WX0102X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR121223Medicare PIN
ORU41297Medicare UPIN
OR0948130001Medicare NSC