Willamette Eye Care Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

3488ATI Issued in OR

Legal business name

WILLAMETTE EYE CARE SERVICES

Practice address

775 NE 27TH St
McMinnville, OR 97128-2142

Phone

(503) 435-7591

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Mark McKenzie, OD

Title

Optometrist

Phone

(503) 560-6526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1104239805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 NW ALDER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283039",
            "telephone_number": "503-560-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 NE 27TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282142",
            "telephone_number": "503-435-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE EYE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "503-560-6526",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "3488ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Wilcox, CRP, AGS
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• John Wilkins, MSW
• Aprill A Wilkinson, LMT
• Lisa Will
• Willamette Neurosurgery, PC
• Willamette Orthopedic Group LLC
• Willamette Orthotics & Prosthetics LLC
• Willamette Radiology Billing Services LLC
• Willamette Valley Clinics LLC

• Assisted Living Facility in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.