WALLOWA VALLEY EYE CARE, INC. (NPI# 1194092940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194092940 |
| Entity Type | Organization |
| Organization Name | WALLOWA VALLEY EYE CARE, INC. |
| Practice Address |
519 W. North Street Enterprise OR 97828-1168 |
| Mailing Address |
Po Box L Enterprise OR 97828-0227 |
| Practice Telephone | 5414263413 |
| Practice Fax Number | 5414264489 |
| Mailing Telephone | 5414263413 |
| Mailing Fax Number | 5414264889 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | DR. JAMES TROY BAILEY (O.D.) |
| Authorized Official Telephone | 5414263413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2557ATI | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 275377 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WALLOWA VALLEY EYE CARE, INC. | 519 W North St, Enterprise, OR 97828 |
| Street Address |
519 W. NORTH STREET |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
| 1518472968 | Kurt Alan Boesger | Pharmacist | 306 West North Street, Enterprise, OR 97828 | 2017-12-07 |
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1780040022 | Dolores Irene Beck | Counselor | 207 Sw 1st Street, Enterprise, OR 97828 | 2015-12-31 |
| 1245530344 | Olive Branch Family Health Inc | General Practice | 306 W North Street, Enterprise, OR 97828 | 2010-10-24 |
| 1952615163 | Red Cross United Drug, Inc. | Pharmacy | 306 West North St., Enterprise, OR 97828 | 2010-07-29 |
| 1386788131 | Gale A Barton | Chiropractor | 109 East Main St, Enterprise, OR 97828 | 2007-02-16 |
| Find all providers in zip 97828 | ||||
| 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 |
|---|---|---|---|---|
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1952926776 | Mason Buckley Childers | Optometrist | 6020 Boll Weevil Cir, Enterprise, AL 36330-9420 | 2020-06-09 |
| 1538382973 | Velvet Jeter Maddox, O.d. P.C. | Optometrist | 607c Boll Weevil Cir, Enterprise, AL 36330-2733 | 2007-04-11 |
| 1346335833 | Velvet Jeter Maddox | Optometrist | 607-c Boll Weevil Circle, Enterprise, AL 36330 | 2006-10-03 |
| 1194826057 | John T. Bender, Jr., O.d., P.C. | Optometrist | 1020 B Boll Weevil Circle, Enterprise, AL 36330 | 2006-09-25 |
| 1801991633 | Vision Professionals | Optometrist | 805b East Lee Street, Enterprise, AL 36330 | 2006-09-14 |
| 1538179866 | Enterprise Optical LLC | Optometrist | 812 E. Lee, Enterprise, AL 36330 | 2006-08-09 |
| 1245256445 | James Troy Bailey | Optometrist | 519 W North Street, Enterprise, OR 97828 | 2006-07-14 |
| 1528032448 | John T Bender Jr. | Optometrist | 1020-b Boll Weevil Cir, Enterprise, AL 36330-2733 | 2006-02-15 |
| 1174510614 | Lorie C Woods | Optometrist | 812 E Lee St, Enterprise, AL 36330-2011 | 2005-09-30 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 97828 |
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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.