Organization Active NPI

Visual Eyes LLC

  • Optometrist
  • Milton Freewater, OR
National Provider Identifier
1215313440
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3503 Issued in OR
Legal business name
VISUAL EYES LLC
Doing business as
Visual Eyes
Practice address
320 N Columbia St
Milton Freewater, OR 97862-9405
Phone
(541) 212-8685
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Benjamin Stowe Winters, O.D.NPI 1538508270
Title
Owner
Phone
(541) 938-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3503 OR Primary

Addresses

Primary practice location

320 N Columbia St
Milton Freewater, OR 97862-9405

Mailing address

320 N Columbia St
Milton Freewater, OR 97862-9405
Phone (541) 212-8685

Other names 1

  • Visual Eyes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150831002478 OR Part B Supplier - Clinic/Group Practice 6406162809 Receives reassigned benefits from 2 practitioners
Practice locations: Milton Freewater, OR
O20151204000283 OR DME Supplier - Physician - Optometrist 6406162809 Practice locations: Milton Freewater, OR

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Visual Eyes LLC320 N Columbia St, Milton Freewater, OR 97862-9405(541) 938-5888 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 19, 2015

National Provider Directory

National Provider Directory

Locations

320 N Columbia St
Milton Freewater, OR 97862
Phone (541) 212-8685

117 S Main St
Milton Frwtr, OR 97862
Phone (208) 390-4708

Practitioners & affiliated clinicians

Practitioners 5

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": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1215313440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N COLUMBIA ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978629405",
            "telephone_number": "541-212-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N COLUMBIA ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978629405",
            "telephone_number": "541-212-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "STOWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-938-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visual Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton Freewater, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.