DESCHUTES EYE CLINIC PC (NPI# 1528050523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528050523 |
| Entity Type | Organization |
| Organization Name | DESCHUTES EYE CLINIC PC |
| Other Organization Name | THE EYE SURGERY INSTITUTE |
| Practice Address |
813 Sw Highland Ave Redmond OR 97756-3123 |
| Practice Telephone | 5415487170 |
| Practice Fax Number | 5415483842 |
| Mailing Telephone | 5415487170 |
| Mailing Fax Number | 5415483842 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | DR. OLI I TRAUSTASON (PRESIDENT) |
| Authorized Official Telephone | 5415487170 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RAILROAD MEDICARE | CJ8770 | 01 |
| OR | CLEAR CHOICE | 38080A | 01 |
| OR | REGENCE BCBS | 053857000 | 01 |
| Other Name | Type Code |
|---|---|
| The Eye Surgery Institute | Doing Business As Name - Organization |
| Street Address |
813 SW HIGHLAND AVE |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939137 | Donald Leon Peterson | Optometrist | 813 Sw Highland Ave, Redmond, OR 97756-3123 | 2005-08-11 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568514032 | Thomas D. Lenart | Ophthalmology | 17130 Avondale Way, Suite 111, Redmond, WA 98052-4455 | 2007-01-17 |
| 1023019502 | Oli I Traustason | Ophthalmology | 1775 Sw Umatilla Ave, Redmond, OR 97756-7197 | 2005-08-09 |
| 1992044903 | Orion Eye Center LLC | Ophthalmology | 1775 Sw Umatilla Ave, Redmond, OR 97756-7197 | 2013-02-11 |
| 1376755009 | Laura Marie Periman | Ophthalmology | 16150 Ne 85th St Ste 206, Redmond Eye Clinic, Redmond, WA 98052-3543 | 2007-05-04 |
| 1760522825 | Grazia S Cinciripini | Ophthalmology | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-02-07 |
| 1114071701 | Michael E Lee | Ophthalmology | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-22 |
| 1578620845 | Janet M. Carroll | Ophthalmology | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-03 |
| 1659396711 | Kristine E Traustason | Ophthalmology | 1775 Sw Umatilla Ave, Redmond, OR 97756-7197 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1922483130 | Bradley Seely Md PC | Ophthalmology | 341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 | 2015-07-29 |
| 1821472960 | Complete Eye Care, Inc. | Ophthalmology | 500 Nw 20th St Ste 100, Gresham, OR 97030-2442 | 2015-07-18 |
| 1598184525 | Steven Tersigni | Ophthalmology | 66602 Swallow Rd, North Bend, OR 97459-8277 | 2014-04-07 |
| 1750703575 | Oregon Retina, LLP | Ophthalmology | 94225 E. 4th St., Gold Beach, OR 97444 | 2014-01-14 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1962824060 | Oregon Retina, LLP | Ophthalmology | 855 W Central Blvd, Coquille, OR 97423-1095 | 2014-01-09 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| Find all providers with the same taxonomy | ||||
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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.