Bend Ophthalmology

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BEND OPHTHALMOLOGY

Practice address

2275 NE Doctors Dr
Suite 6
Bend, OR 97701-6092

Phone

(541) 389-3166

Fax

(541) 383-1338

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Scott X Stevens, MD

Title

Partner

Phone

(541) 389-3166

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 9

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

• Darcy Christine Balcer, O.D.

  • Optometrist
  • Bend, OR
  • NPI 1932129541
  Medicare reassignment Care Compare group NPD
• Nancy McKrell Bonetto, O.D.

  • Optometrist
  • Bend, OR
  • NPI 1598970881
  Medicare reassignment Care Compare group NPD
• Jason W Dimmig, M.D.

  • Ophthalmology Physician
  • Bend, OR
  • NPI 1568447035
  Medicare reassignment Care Compare group NPD
• James Banta, M.D.

  • Ophthalmology Physician
  • Miami, FL
  • NPI 1427023134

  OR

  Medicare reassignment Care Compare group NPD
• Stephanie Hoatson, MD

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1477940641

  OR

  Medicare reassignment Care Compare group NPD
• John P Berreen, MD

  • Ophthalmology Physician
  • Bend, OR
  • NPI 1780872184
  Medicare reassignment NPD
• Ida Alul, M.D.

  • Ophthalmology Physician
  • Bend, OR
  • NPI 1770797060
  NPD (past)
• Linda C Novak, M.D.

  • Ophthalmology Physician
  • Bend, OR
  • NPI 1558345413
  NPD (past)
• Stanley O. Shepardson, M.D.

  • Ophthalmology Physician
  • Bend, OR
  • NPI 1568446417
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1053523068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR",
            "address_2": "SUITE 6",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016092",
            "telephone_number": "541-389-3166",
            "fax_number": "541-383-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR",
            "address_2": "SUITE 6",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016092",
            "telephone_number": "541-389-3166",
            "fax_number": "541-383-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "541-389-3166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI3572",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bend Neurological Associates LLC
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• Bend Nsa, PC
• Bend OB-GYN LLC
• Bend of Cascadia, LLC
• Bend Oral, Facial, and Implant Surgery
• Bend Osteopathic Care, PC
• Bend Pediatrics LLC
• Bend Physical Therapy Associates (TAI Central Oregon Athletic Club of Bend)
• Bend Physical Therapy Associates (TAI Central Oregon)

• Specialist in Bend, OR
• Providers in Bend, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.