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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 Plan acceptance stays unpublished until the practice reports it.
Practice location in MADRAS

Public record

NPI 1164791414 · enumerated 2011-12-15 · record updated 2022-05-17. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: JESSICA TEGAN OD, Owner · (541) 475-2020

Other names: MADRAS VISION SOURCE LLC

Addresses and phones

Specialties

  • Eyewear Supplier (Equipment, not the service) 332H00000X
  • Optometrist 152W00000X · Primary · License 3215ATI OR

In this directory

Locations and evidence

  • 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.