Optometrist
MADRAS VISION SOURCE PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164791414 · enumerated 2011-12-15 · record updated 2022-05-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JESSICA TEGAN OD, Owner · (541) 475-2020
Other names: MADRAS VISION SOURCE LLC
Addresses and phones
- Practice location 211 SE 5TH ST, MADRAS, OR, 97741 (541) 475-2020 Fax (541) 475-6118 Google Maps Apple Maps OpenStreetMap
- Mailing address 211 SE 5TH ST, MADRAS, OR, 97741 (541) 475-2020 Fax (541) 475-6118 Google Maps Apple Maps OpenStreetMap
Specialties
- Eyewear Supplier (Equipment, not the service) 332H00000X
- Optometrist 152W00000X · Primary · License 3215ATI OR
In this directory
Locations and evidence
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Practice location
MADRAS, OR, 97741
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.