Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Etosha C Fegan, OD

Individual provider Optometrist · NPI 1275996894

Etosha C Fegan, OD is an Optometry in Bend, Oregon. Graduated from Pacific University - College of Optometry in 2017, 9 years ago. Practices with Patrick Ayres, OD, PC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2016
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

143 SW Shevlin Hixon Dr Ste 101
Bend, OR 97702-3189
Phone: (541) 317-9747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16410 3rd St Ste A, La Pine, OR 97739-8002 — (541) 536-2911

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4311-ATI (OR)

Record details

NPI number1275996894
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 31, 2016
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Patrick Ayres, Od, Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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