OREGON RETINA, LLP


Address: 855 W Central Blvd, Coquille, OR 97423-1095
Phone: 5417622763

OREGON RETINA, LLP (NPI# 1962824060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962824060
Entity Type Organization
Organization Name OREGON RETINA, LLP
Practice Address 855 W Central Blvd
Coquille
OR 97423-1095
Mailing Address 1550 Oak St
Suite 4
Eugene
OR 97401-7701
Practice Telephone 5417622763
Mailing Telephone 5417622763
Enumeration Date 2014-01-09
Last Update Date 2014-01-09
Authorized Official Name ALBERT EDWARDS (PHYSICIAN/OWNER)
Authorized Official Telephone 5417622763
Authorized Official Credential MD, PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology MD20042 OR Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1467717405 Oregon Retina, LLP Ophthalmology 775 Sw 9th St Ste A, Newport, OR 97365-4882 2012-07-05

Office Location

Street Address 855 W CENTRAL BLVD
City COQUILLE
State OR
Zip Code 97423-1095

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457919003 Julie Ann Hage Registered Nurse 306s Irving, Coquile, OR 97423 2019-05-30
1730417106 Pahls Dentistry PC Dentist 346 N. Central Blvd, Coquille, OR 97423 2009-11-24
1730223967 Coquille Valley Hospital District General Acute Care Hospital 940 East Fifth Street, Coquille, OR 97423 2007-02-19
1942366687 Douglas Deverne Day Dentist 346 N Central, Coquille, OR 97423 2006-12-28
1417040023 County of Coos Coos County School District R8 Local Education Agency (LEA) 790 W 17th St, Coquille, OR 97423 2006-10-02
1689650673 Douglas Gordon Crane Internal Medicine 940 East Fifth Street East Wing, Coquille, OR 97423 2005-12-21
1861945487 Julian Andres Ospina Family Medicine 790 E 5th St, Coquille, OR 97423 2016-07-31
1326428475 Kriti Choudhary Family Medicine 790 E 5th St, Coquille, OR 97423 2015-06-04
1538424346 Paavani Atluri Internal Medicine 790 E 5th St, Coquille, OR 97423 2012-07-08
1164557179 Coquille Valley Hospital District Medicare Defined Swing Bed Unit 940 E 5th St, Coquille, OR 97423 2007-02-22
Find all providers in zip 97423

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
1245579994 The Eye Center LLC Ophthalmology 65 Division Ave Ste E, Eugene, OR 97404 2013-01-31
1861736902 Asem Alqudah Ophthalmology 4730 Sw Luradel St Apt 6, Portland, OR 97219-6841 2012-11-15
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Competitor

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City COQUILLE
Zip Code 97423

Improve Information

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Dataset Information

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.

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