Willamette Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1666AT Issued in OR

Legal business name

WILLAMETTE VISION CENTER INC

Doing business as

Family Focus Vision Source

Practice address

3400 State St
#G-770
Salem, OR 97301-5861

Phone

(503) 585-6700

Fax

(503) 585-3315

NPI assigned

Sep 21, 2005

Last updated

Jun 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mickey M Vorpahl

Title

Manager Secretary

Phone

(503) 585-6700

Specialties & licenses 1

Addresses

Other names 1

• Family Focus Vision Source Doing business as

Locations

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1053307413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 STATE ST",
            "address_2": "#G-770",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015861",
            "telephone_number": "503-585-6700",
            "fax_number": "503-585-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 STATE ST",
            "address_2": "#G-770",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015861",
            "telephone_number": "503-585-6700",
            "fax_number": "503-585-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "VORPAHL",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER SECRETARY",
        "authorized_official_telephone_number": "503-585-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1666AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Focus Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Salem, OR
• Providers in Salem, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.