Organization Active NPI

Eye Care Services, Inc.

Doing business as 20/20 Eye Care

  • Ophthalmology Physician
  • Gresham, OR
National Provider Identifier
1114939444
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD06318 Issued in OR
Legal business name
EYE CARE SERVICES, INC.
Doing business as
20/20 Eye Care
Practice address
500 NW 20TH St
Gresham, OR 97030-2441
Phone
(503) 667-2020
Fax
(503) 667-6386
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dean E Neal, M.D.
Title
President
Phone
(503) 667-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD06318 OR Primary

Addresses

Primary practice location

500 NW 20TH St
Gresham, OR 97030-2441

Mailing address

500 NW 20TH St
Gresham, OR 97030-2441
Phone (503) 667-2020

Other names 1

  • 20/20 Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

500 NW 20th St
Gresham, OR 97030
Phone (503) 489-5917

Practitioners & affiliated clinicians

Practitioners 2

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1114939444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW 20TH ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302441",
            "telephone_number": "503-667-2020",
            "fax_number": "503-667-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 20TH ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302441",
            "telephone_number": "503-667-2020",
            "fax_number": "503-667-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-667-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD06318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/20 Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.