Pomeroy Eyecare, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1453ATI ACTIVE Issued in OR

Legal business name

POMEROY EYECARE, P.C.

Doing business as

James P. Randolph, O. D.

Practice address

1960 Commercial St SE
Salem, OR 97302-5206

Phone

(503) 363-9011

Fax

(503) 362-6376

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By 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

James Randolph, O.D.NPI 1851512305

Title

President, Optometrist

Phone

(503) 363-9011

Specialties & licenses 1

Addresses

Other names 1

• James P. Randolph, O. D. Doing business as

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.

• James Paul Randolph, O.D.

  • Optometrist
  • Salem, OR
  • NPI 1851512305
  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154452894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025206",
            "telephone_number": "503-363-9011",
            "fax_number": "503-362-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025206",
            "telephone_number": "503-363-9011",
            "fax_number": "503-362-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMEROY EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT, OPTOMETRIST",
        "authorized_official_telephone_number": "503-363-9011",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1453ATI ACTIVE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James P. Randolph, O. D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Polk County Mental Health
• Polk Yamhill & Marion Child Treatment Services Inc (Poyama Counseling Services)
• Marcus L Pollard, MD
• McKayla Pollard
• Susan Polvi, LPC
• Gayle Wigington Pomroy, RN
• Benjamin James Pomy, M.D.
• Noe Ponce Mau
• Terry Pond, LPC
• Robert J Ponec, MD

• Optometrist in Salem, OR
• Providers in Salem, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.