Wallowa Valley Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2557ATI Issued in OR

Legal business name

WALLOWA VALLEY EYE CARE, INC.

Practice address

519 W. North Street
Enterprise, OR 97828-1168

Phone

(541) 426-3413

Fax

(541) 426-4489

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James Troy BaileyNPI 1245256445

Title

O.D.

Phone

(541) 426-3413

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Troy Bailey, OD

  • Optometrist
  • Enterprise, OR
  • NPI 1245256445
  Medicare reassignment NPD Authorized official
• Erica Louise Bailey, OD

  • Optometrist
  • Ooltewah, TN
  • NPI 1790396471

  OR

  Medicare reassignment NPD
• Ross Cusic, O.D.

  • Optometrist
  • Kirkland, WA
  • NPI 1568490654
  NPD (past)

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1194092940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX L",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978280227",
            "telephone_number": "541-426-3413",
            "fax_number": "541-426-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W. NORTH STREET",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281168",
            "telephone_number": "541-426-3413",
            "fax_number": "541-426-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLOWA VALLEY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "541-426-3413",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2557ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275377",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wallowa Valley Center for Wellness
• Wallowa Valley Center for Wellness
• Wallowa Valley Center for Wellness
• Wallowa Valley Center for Wellness
• Wallowa Valley Chiropractic Inc.
• Aidan Thomas Wandschneider
• Judith A. Wandschneider, LCSW
• William C Weisz
• Katie L Weller, CFNP
• Nicholas Bennett West, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.