NPIMap

Organization Active NPI

Eyecare Associates PC

  • Ophthalmology Physician
  • Albany, OR
National Provider Identifier
1013964113
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYECARE ASSOCIATES PC
Practice address
2715 Willetta St SW Ste B
Albany, OR 97321
Phone
(541) 926-5848
Fax
(541) 926-2873
NPI assigned
May 27, 2006
Last updated
Apr 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bruce W Madsen, M.D.NPI 1760429831
Title
Owner
Phone
(541) 926-5848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2715 Willetta St SW Ste B
Albany, OR 97321

Mailing address

2715 Willetta St SW Ste B
Albany, OR 97321-3471
Phone (541) 926-5848

Other practice location 1

904 Pacific Blvd SE
Albany, OR 97321-3149
Phone (541) 928-2020

Other practice location 2

5686 Commercial St SE
Salem, OR 97306-1200
Phone (971) 377-2703

Other practice location 3

2400 NW Century Dr
Corvallis, OR 97330-3568
Phone (541) 754-2955

Other practice location 4

227 NW 3rd St
Corvallis, OR 97330-4801
Phone (541) 757-1120

Other practice location 5

100 Mullins Dr Ste B3
Lebanon, OR 97355-2868
Phone (541) 451-5808

Other practice location 6

2930 NE West Devils Lake Rd
Lincoln City, OR 97367-5195
Phone (541) 614-0946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040420000029 OR Part B Supplier - Clinic/Group Practice 0648265470 Receives reassigned benefits from 18 practitioners
Practice locations: Salem, OR; Lincoln City, OR; Lebanon, OR; Corvallis, OR; Albany, OR
O20100930052325 OR DME Supplier - Physician - OphthalmologyDME Supplier - Optician 0648265470 Practice locations: Albany, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2060819Eyecare Associates100 Mullins Drive, Lebanon, OR 97355Certificate of waiverJun 17, 2027
38D2060820Eyecare Associates2400 NW Century Dr, Corvallis, OR 97330Certificate of waiverJun 17, 2027
38D2285965Eyecare Associates227 NW 3Rd Street, Corvallis, OR 97330Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Locations

2119 Pacific Blvd SW
Ste 101
Albany, OR 97321
Phone (541) 928-2020

2715 Willetta St SW
#B
Albany, OR 97321
Phone (541) 926-5848

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

2715 Willetta St SW
Ste B1
Albany, OR 97321

130 NW 3Rd St
Corvallis, OR 97330

1597 SW 53rd St
Corvallis, OR 97333
Phone (541) 757-8844

2400 NW Century Dr
Corvallis, OR 97330
Phone (541) 752-4622

330 NW Elks Dr
Ste A
Corvallis, OR 97330
Phone (503) 752-4622

920 NW 9th St
Corvallis, OR 97330
Phone (541) 754-8115

100 Mullins Dr
Ste B3
Lebanon, OR 97355
Phone (541) 451-5808

90 Market St
Ste 20
Lebanon, OR 97355
Phone (541) 451-1144

490 NE a St
Madras, OR 97741

5778 Commercial St SE
Salem, OR 97306
Phone (503) 873-8476

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680307200000",
    "number": "1013964113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213471",
            "telephone_number": "541-926-5848",
            "fax_number": "541-926-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "97321",
            "telephone_number": "541-926-5848",
            "fax_number": "541-926-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Pacific Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973213149",
            "country_code": "US",
            "telephone_number": "541-928-2020",
            "fax_number": "541-928-2043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5686 Commercial St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973061200",
            "country_code": "US",
            "telephone_number": "971-377-2703",
            "fax_number": "971-301-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 NW Century Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303568",
            "country_code": "US",
            "telephone_number": "541-754-2955",
            "fax_number": "541-754-2955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 NW 3rd St",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973304801",
            "country_code": "US",
            "telephone_number": "541-757-1120",
            "fax_number": "541-757-9741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Mullins Dr Ste B3",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552868",
            "country_code": "US",
            "telephone_number": "541-451-5808",
            "fax_number": "541-451-5813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2930 NE West Devils Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973675195",
            "country_code": "US",
            "telephone_number": "541-614-0946",
            "fax_number": "541-614-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-926-5848",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.