Organization Active NPI

Vision Center, LLC

  • Optician
  • Redmond, OR
National Provider Identifier
1114373644
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
2547AT Issued in OR
Legal business name
VISION CENTER, LLC
Practice address
632 SW 6TH St
Redmond, OR 97756-2752
Phone
(541) 923-2020
NPI assigned
May 13, 2016
Last updated
Jul 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Mr. Mark Dramen
Title
Owner/Optician
Phone
(541) 923-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 2547AT OR Primary

Addresses

Primary practice location

632 SW 6TH St
Redmond, OR 97756-2752

Mailing address

632 SW 6TH St
Redmond, OR 97756-2752
Phone (541) 923-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160721001426 OR Part B Supplier - Clinic/Group Practice 4385937820 Receives reassigned benefits from 1 practitioner
Practice locations: Redmond, OR

National Provider Directory

National Provider Directory

Locations

632 SW 6th St
Redmond, OR 97756
Phone (541) 923-2020

632 SW 6th St
Ste 3
Redmond, OR 97756
Phone (541) 923-2020

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1114373644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 SW 6TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562752",
            "telephone_number": "541-923-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 SW 6TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562752",
            "telephone_number": "541-923-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "DRAMEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "541-923-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OR",
            "license": "2547AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.