ALL FAMILY VISION LLC (NPI# 1255600763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255600763 |
| Entity Type | Organization |
| Organization Name | ALL FAMILY VISION LLC |
| Practice Address |
1597 Sw 53rd St Corvallis OR 97333-2630 |
| Practice Telephone | 5417578844 |
| Mailing Telephone | 5417578844 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | DR. JUSTIN HEINTZ (OWNER) |
| Authorized Official Telephone | 5417578844 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 3307ATI | OR | Eye and Vision Services Providers |
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 152W00000X | Optometrist | 2515T | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE PTAN | R163394 | 01 |
| OR | MEDICARE PTAN | R163171 | 01 |
| Street Address |
1597 SW 53RD ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609924968 | Michael D Klautzsch, Od, PC | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2007-01-05 |
| 1679057913 | Jeanine M Duong | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2018-09-22 |
| 1760937510 | Kelly Shannon | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2016-08-22 |
| 1548499882 | Justin Thomas Heintz | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| 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 |
|---|---|---|---|---|
| 1982956223 | Arige Nohad | Optometrist | 4629 Nw Acacia Dr, Corvallis, OR 97330-3198 | 2012-10-10 |
| 1578755856 | Brett Gordon Mildenberger | Optometrist | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2007-08-10 |
| 1609924968 | Michael D Klautzsch, Od, PC | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2007-01-05 |
| 1417043845 | Tara Pyu Pyu Than Aye Solensky | Optometrist | 2647 Nw Lupine Pl, Corvallis, OR 97330-3537 | 2006-10-05 |
| 1922107283 | Melissa Kay Frost | Optometrist | 1329 Nw 9th St Ste 135, Corvallis, OR 97330-5386 | 2006-09-22 |
| 1649382821 | Jay Alex Seitz | Optometrist | 130 Sw 3rd St, Corvallis, OR 97333-4714 | 2006-08-31 |
| 1477592509 | John D Hutchison | Optometrist | 1031 Main Street, Corvallis, MT 59828-0911 | 2006-06-05 |
| 1982679114 | Eric H Knutson | Optometrist | 1505 Nw Harrison Blvd, Corvallis, OR 97330-5816 | 2006-02-21 |
| 1356341275 | Ed Charles Baer | Optometrist | 2117 Nw Fillmore Ave, Corvallis Eye Care, Corvallis, OR 97330-5624 | 2005-07-21 |
| 1679057913 | Jeanine M Duong | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2018-09-22 |
| Find all providers in CORVALLIS | ||||
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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.