NPIMap

Organization Active NPI

Eyes in Motion

  • Optometrist
  • Bend, OR
National Provider Identifier
1053749937
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3193ATI Issued in OR
Legal business name
EYES IN MOTION
Practice address
20120 Pinebrook Blvd
Bend, OR 97702
Phone
(541) 389-2508
Fax
(541) 389-2973
NPI assigned
Oct 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Toni Decker, ODNPI 1932299526
Title
Doctor/Owner
Phone
(541) 389-2508

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3193ATI OR Primary

Addresses

Primary practice location

20120 Pinebrook Blvd
Bend, OR 97702

Mailing address

20120 Pinebrook Blvd
Bend, OR 97702
Phone (541) 389-2508

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1383177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1053749937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20120 PINEBROOK BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-389-2508",
            "fax_number": "541-389-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20120 PINEBROOK BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-389-2508",
            "fax_number": "541-389-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES IN MOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "541-389-2508",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3193ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.