| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COREY RAY OMMEN | 1891286761 | 2023-02-11 |
Corey Ray Ommen [M] graduated in 2018 from Southern College Of Optometry and primarily specializes in Optometry.
Corey Ray Ommen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891286761. Registration indicates Corey Ray Ommen is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| PECOS ID | 4981953551 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Corey Ray Ommen OD |
| Practice Office Address | 1014 W POINSETT ST GREER, SC US |
| Practice Office Telephone | 8648774011 |
| Mailing Address | 1014 W POINSETT ST GREER, SC 296501315 US |
| Business Telephone | 8648774011 |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 2058
SC |