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

Last updated

Jun 10, 2014By 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

Mark McKenzie, ODNPI 1164783718

Title

Optometrist

Phone

(503) 560-6526

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark McKenzie, OD

  • Optometrist
  • McMinnville, OR
  • NPI 1164783718
  Authorized official Same address or phone

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
• Wilder Midwifery, LLC
• John Wilkins, MSW
• Aprill A Wilkinson, LMT
• Lisa Will
• Willamette Neurosurgery, PC
• Willamette Orthopedic Group LLC (Hope Orthopedics of Oregon)
• Willamette Orthotics & Prosthetics LLC (Summit Orthotics & Prosthetics)
• Willamette Radiology Billing Services LLC
• Willamette Valley Clinics LLC (Willamette Valley Pediatrics & Adolescent Medicine)

• 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.