EYE CARE PHYSICIANS & SURGEONS, INC. (NPI# 1659407625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659407625 |
| Entity Type | Organization |
| Organization Name | EYE CARE PHYSICIANS & SURGEONS, INC. |
| Practice Address |
1309 Liberty St Se Salem OR 97302-4245 |
| Practice Telephone | 5035852022 |
| Practice Fax Number | 5033780797 |
| Mailing Telephone | 5035852022 |
| Mailing Fax Number | 5033780797 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | MR. ORVAL L GILMORE (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 5035852022 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 0581530001 | OR | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EYE CARE PHYSICIANS & SURGEONS, INC | 1309 Liberty St Se, Salem, OR 97302-4245 |
| Oregon Corporations, Companies and Business Names | EYE CARE PHYSICIANS & SURGEONS, INC. | 1309 Liberty Street Se, Salem, OR 97302 |
| Street Address |
1309 LIBERTY ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255446985 | Betsy D Mcdowell | Optometrist | 1309 Liberty St Se, Salem, OR 97302-4245 | 2006-08-21 |
| 1225396229 | Kristine Janell Paluska | Optometrist | 1309 Liberty St Se, Salem, OR 97302-4245 | 2012-04-26 |
| 1952446361 | David Paul Rowell | Ophthalmology | 1309 Liberty St Se, Salem, OR 97302-4245 | 2007-02-21 |
| 1437284684 | Richard K Neahring | Ophthalmology | 1309 Liberty St Se, Salem, OR 97302-4245 | 2007-02-21 |
| 1992830186 | Eye Care Physicians & Surgeons, Inc | Ophthalmology | 1309 Liberty St Se, Salem, OR 97302-4245 | 2007-02-21 |
| 1043345275 | Robert M Paluska | Optometrist | 1309 Liberty St Se, Salem, OR 97302-4245 | 2007-02-21 |
| 1841325008 | Russell B Warner | Ophthalmology | 1309 Liberty St Se, Salem, OR 97302-4245 | 2007-02-21 |
| 1144355314 | John R Harrington | Optometrist | 1309 Liberty St Se, Salem, OR 97302-4245 | 2007-02-21 |
| 1942335195 | Scott E Stice | Ophthalmology | 1309 Liberty St Se, Salem, OR 97302-4245 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967135 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Rd, Salem, NH 03079-3324 | 2020-09-18 |
| 1457578627 | Willamette Valley Eyewear | Eyewear Supplier (Equipment, not the service) | 2001 Commercial St Se, Salem, OR 97302-5207 | 2007-04-19 |
| 1437203627 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Road, Salem, NH 03079 | 2007-01-23 |
| 1871640318 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 823 Lancaster Dr Ne, Lancaster Mall, Salem, OR 97301-2929 | 2007-01-05 |
| 1306993480 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 77 Rockingham Park Blvd, The Mall At Rockingham Park, Salem, NH 03079-2964 | 2007-01-04 |
| 1467513457 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 99 Rockingham Park Blvd, Salem, NH 03079-2900 | 2006-12-13 |
| 1497844435 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 831 Lancaster Drive Ne, Salem, OR 97301 | 2006-10-11 |
| 1922019843 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 81 Rockingham Park Blvd, Salem, NH 03079 | 2006-08-10 |
| 1285677815 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 300-344 N. Broadway, Salem, NH 03079 | 2006-06-13 |
| 1790736023 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1230 Lancaster Dr Se, Salem, OR 97317-5800 | 2006-05-12 |
| Find all providers in SALEM | ||||
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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.