Eagle Point Eye Care, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3219 Issued in OR

Legal business name

EAGLE POINT EYE CARE, P.C.

Practice address

10546 Hwy 62
#4 Suite a
Eagle Point, OR 97524-9505

Phone

(541) 826-7910

Fax

(541) 826-6910

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

James Franklin Adamek, O.D.NPI 1568660199

Title

Owner

Phone

(541) 826-7910

Specialties & licenses 1

Addresses

Other identifiers 1

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

• James Franklin Adamek, OD

  • Optometrist
  • Eagle Point, OR
  • NPI 1568660199
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1205017019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10546 HWY 62",
            "address_2": "BLDG. 4, SUITE A",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975249435",
            "telephone_number": "541-826-7910",
            "fax_number": "541-826-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10546 HWY 62",
            "address_2": "#4 SUITE A",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975249505",
            "telephone_number": "541-826-7910",
            "fax_number": "541-826-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE POINT EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "ADAMEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-826-7910",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244250",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Dillin, LPEI
• Elizabeth Leslie Dimick, RN
• Richard Dowling Jr.
• Eagle Cove
• Eagle Point Dental Group,P.C.
• Eagle Point Family Dentistry
• Carmen D Edwards-Henry, MED. CCC-SLP
• Eric Lee Eltzroth, DDS
• Emeritus Corporation
• Kendell Christine Erb, DPT

• All providers in Eagle Point, OR
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.