CENTRAL OREGON EYECARE, PC (NPI# 1073715157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073715157 |
| Entity Type | Organization |
| Organization Name | CENTRAL OREGON EYECARE, PC |
| Practice Address |
1000 Sw Indian Ave Redmond OR 97756 |
| Practice Telephone | 5415482488 |
| Practice Fax Number | 5415485334 |
| Mailing Telephone | 5415482488 |
| Mailing Fax Number | 5415485334 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-03-04 |
| Authorized Official Name | TODD SHELDON (PRESIDENT) |
| Authorized Official Telephone | 5415482488 |
| Authorized Official Credential | OD, MBA, FAAO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2823ATI | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 230762 | 05 | |
| OR | U85325 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912389511 | Central Oregon Eyecare, PC | Optometrist | 2155 Nw Shevlin Park Rd, Bend, OR 97701 | 2015-06-19 |
| 1053684597 | Central Oregon Eyecare, PC | Optometrist | 625 N Arrowleaf Trail, Ste 103, Sisters, OR 97759 | 2012-02-14 |
| 1598993131 | Central Oregon Eyecare, PC | Clinic/Center | 35 Se C St, Suite D, Madras, OR 97741-1706 | 2009-06-22 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| Street Address |
1000 SW INDIAN AVE |
| City | REDMOND |
| State | OR |
| Zip Code | 97756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588193791 | Nicholas James Blight | Optometrist | 1000 Sw Indian Ave, Redmond, OR 97756-3039 | 2017-06-09 |
| 1376998310 | Bradley Jansen | Optometrist | 1000 Sw Indian Ave, Redmond, OR 97756 | 2016-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477906485 | Kimberly Skyles | Optometrist | 8630 164th Ave Ne Ste 100, Redmond, WA 98052-3606 | 2016-07-14 |
| 1942582440 | Nicole Shams | Optometrist | 16144 Ne 87th St, Redmond, WA 98052-3505 | 2011-09-12 |
| 1609157460 | Overlake Eye Designs, P.C. | Optometrist | 15253 N.e. 40th St., Building 98, S. Submixer, Redmond, WA 98052 | 2011-09-07 |
| 1427207216 | Eric Chang | Optometrist | 15230 Ne 24th St, Ste Q, Redmond, WA 98052-5540 | 2008-09-16 |
| 1285766626 | Jennifer Wang Choi | Optometrist | 17634 Ne Union Hill Rd Unit 120, Redmond, WA 98052 | 2007-03-12 |
| 1972639417 | Maryjane T Healey Od Ps | Optometrist | 16441 Ne 74th St, E 150, Redmond, WA 98052-7801 | 2007-02-26 |
| 1225163439 | Robert Bryant Collins | Optometrist | 16560 Ne 74th St, Redmond, WA 98052-7804 | 2007-02-21 |
| 1093869869 | Mark Wedekind | Optometrist | 2040 148th Ave Ne, Redmond, WA 98052-5527 | 2007-01-22 |
| 1760539969 | Dr Tiffany J Hollenbeck Pllc | Optometrist | 22310 Ne Marketplace Dr, Suite 106, Redmond, WA 98053-2038 | 2007-01-03 |
| 1659437465 | Sam Hsu | Optometrist | 8070 160th Ave Ne, Redmond, WA 98052-3810 | 2006-12-28 |
| Find all providers in REDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.