KLAMATH OPHTHALMOLOGY, PC (NPI# 1730586918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730586918 |
| Entity Type | Organization |
| Organization Name | KLAMATH OPHTHALMOLOGY, PC |
| Other Organization Name | LAKEVIEW EYE CENTER |
| Practice Address |
628 N 1st St Suite C Lakeview OR 97630-1506 |
| Mailing Address |
2640 Biehn St Suite 3 Klamath Falls OR 97601-1181 |
| Practice Telephone | 5419473357 |
| Practice Fax Number | 5419473368 |
| Mailing Telephone | 5418843148 |
| Mailing Fax Number | 5418843373 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-01-06 |
| Authorized Official Name | DR. MARK T FAY (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5418843148 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD16253 | OR | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD29440 | OR | Allopathic & Osteopathic Physicians |
| Y | 152W00000X | Optometrist | 2599ATI | OR | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Lakeview Eye Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609277763 | Klamath Ophthalmology, PC | Physician Assistant | 2613 Almond St, Klamath Falls, OR 97601-1116 | 2014-09-09 |
| Street Address |
628 N 1ST ST SUITE C |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193432 | Garry Dwayne Kappel | Nutritionist | 628 N 1st St, Ste C, Lakeview, OR 97630-1506 | 2005-06-10 |
| 1508986365 | Olivia M Kappel | Technician, Other | 628 N 1st St, Ste C, Lakeview, OR 97630-1506 | 2007-03-29 |
| 1851362453 | Mary Ann Button | Optometrist | 628 N 1st St, Ste C, Lakeview, OR 97630-1506 | 2006-01-31 |
| 1861499923 | Patrick H Sabin | Dentist | 628 N 1st St, Lakeview, OR 97630-1506 | 2005-07-05 |
| 1043216567 | Andrew Walls | Dentist | 628 N 1st St, Lakeview, OR 97630-1506 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891186326 | Susan Ann Mungarro | Counselor | 215 North G Street, Lakeview, OR 97630 | 2015-02-05 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
| 1316056120 | Michael Sabin Dmd PC | Dentist | 733 N 1st Street, Lakeview, OR 97630 | 2006-08-29 |
| 1174586564 | Donald Frank Ott | Nurse Anesthetist, Certified Registered | 700 S J, Lakeview, OR 97630 | 2006-04-08 |
| 1760922033 | Darrel Kyniston Kyniston | Counselor | 215 North G Street, Lakeview, OR 97630 | 2017-03-06 |
| 1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
| 1184935876 | Matthew Christopher Foster | Family Medicine | 700 S J St, Lakeview, OR 97630 | 2010-06-28 |
| 1457407264 | Angelyn Ray | Social Worker | 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 | 2007-01-25 |
| 1003823790 | Mary Juree Anderson | Registered Nurse | 530 Sunset, Lakeview, OR 97630-0032 | 2006-08-02 |
| Find all providers in zip 97630 | ||||
| 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 |
|---|---|---|---|---|
| 1174942049 | Aris Eye Care P.C. | Optometrist | 936 S Lincoln Ave, Lakeview, MI 48850-9178 | 2014-04-08 |
| 1164597225 | Lakeview Vision Center, LLC | Optometrist | 628 N 1st St Ste C, Lakeview, OR 97630-1506 | 2006-11-22 |
| 1023530151 | Christopher Appel | Optometrist | 628 N 1st St Ste C, Lakeview, OR 97630-1545 | 2017-07-11 |
| 1851362453 | Mary Ann Button | Optometrist | 628 N 1st St, Ste C, Lakeview, OR 97630-1506 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080105 | Quest Mobile Vision | Optometrist | 1900 E Fulton St, Newberg, OR 97132-1806 | 2020-10-16 |
| 1376141754 | Aa Vision Corporation | Optometrist | 2474 Se Burnside Rd, Gresham, OR 97080-1247 | 2020-10-16 |
| 1578170387 | Zachary Willits | Optometrist | 8495 Crater Lake Hwy Bldg 212, White City, OR 97503-3011 | 2020-09-25 |
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1477175453 | Pacific Eye Group, PC | Optometrist | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005-1347 | 2020-05-12 |
| 1063034148 | Pacific Eye Group, PC | Optometrist | 10104 Sw Washington Square Rd Spc A02, Tigard, OR 97223-4457 | 2020-05-12 |
| 1457973992 | Tammy T Nguyen | Optometrist | 16801 Se Davidoff Way, Damascus, OR 97089-5801 | 2020-05-07 |
| 1629698642 | Prashna Mistry | Optometrist | College of Optometry, 2043 College Way, Forest Grove, OR 97116-1797 | 2020-04-20 |
| 1376162008 | Eyestrong, LLC | Optometrist | 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 | 2020-04-13 |
| 1740816768 | Allison Kuo | Optometrist | 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 | 2020-03-21 |
| 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.