Organization Active NPI

Valley Opticians Inc.

  • Eyewear Supplier
  • Roseburg, OR
National Provider Identifier
1235110446
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
VALLEY OPTICIANS INC.
Practice address
780 NW Garden Valley Blvd
Suite 50B-1
Roseburg, OR 97470-6528
Phone
(541) 672-5400
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mr. Todd L. Barnett
Title
Dispencing Optician
Phone
(541) 672-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

780 NW Garden Valley Blvd
Suite 50B-1
Roseburg, OR 97470-6528

Mailing address

780 NW Garden Valley Blvd
PO Box 970
Roseburg, OR 97470-6528
Phone (541) 672-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930088194 OR DME Supplier - Optician 6709903172 Practice locations: Roseburg, OR

National Provider Directory

National Provider Directory

Locations

780 NW Garden Valley Blvd
Ste 50B1
Roseburg, OR 97471
Phone (541) 672-5400

Practitioners & affiliated clinicians

Practitioners 1

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": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1235110446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 NW GARDEN VALLEY BLVD",
            "address_2": "PO BOX 970",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706528",
            "telephone_number": "541-672-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NW GARDEN VALLEY BLVD",
            "address_2": "SUITE 50B-1",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706528",
            "telephone_number": "541-672-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OPTICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DISPENCING OPTICIAN",
        "authorized_official_telephone_number": "541-672-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.