NPIMap

Organization Active NPI

Oregon Eye Consultants LLC

  • Ophthalmology Physician
  • Eugene, OR
National Provider Identifier
1023199734
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OREGON EYE CONSULTANTS LLC
Practice address
1550 Oak Street
Suite #7
Eugene, OR 97401
Phone
(541) 687-1927
Fax
(541) 683-8779
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Joy Woodke
Title
Administrator
Phone
(541) 687-1927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1550 Oak Street
Suite #7
Eugene, OR 97401

Mailing address

1550 Oak Street
Suite #7
Eugene, OR 97401
Phone (541) 687-1927

Other identifiers 3

IdentifierTypeStateIssuer
288509MedicaidOR
CG6842OtherMEDICARE, RR
CG6841OtherMEDICARE, RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040816000305 OR Part B Supplier - Clinic/Group Practice 9638142904 Receives reassigned benefits from 8 practitioners
Practice locations: Eugene, OR; Springfield, OR; Roseburg, OR; Newport, OR; Florence, OR; Corvallis, OR; North Bend, OR

National Provider Directory

National Provider Directory

Locations

648 Chetco Ave
Brookings, OR 97415
Phone (541) 412-2070

2500 NW Century Dr
Corvallis, OR 97330
Phone (541) 754-0600

1550 Oak St
#6842
Eugene, OR 97401

775 SW 9th St
Ste A
Newport, OR 97365
Phone (541) 265-5362

3783 International Ct
Ste 290
Springfield, OR 97477

3783 International Ct
#290
Springfield, OR 97477

Interoperability endpoints

  • Direct secure messaging: pweber@oec.intellechartdirect.net
  • Direct secure messaging: epuckett@oec.intellechartdirect.net
  • Direct secure messaging: karyah@oec.intellechartdirect.net
  • Direct secure messaging: mhassan@oec.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1023199734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OAK STREET",
            "address_2": "SUITE #7",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-687-1927",
            "fax_number": "541-683-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OAK STREET",
            "address_2": "SUITE #7",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-687-1927",
            "fax_number": "541-683-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON EYE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "WOODKE",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-687-1927"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288509",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RR",
            "identifier": "CG6842",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RR",
            "identifier": "CG6841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.