Active NPI
Corvallis Vision Cneter P.C.
- Optometrist
- Corvallis, OR
National Provider Identifier
1235260209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1404AT
- Legal business name
- CORVALLIS VISION CNETER P.C.
- Practice address
- 130 SW 3Rd St
Corvallis, OR 97333-4714 - Phone
- (541) 757-1120
- Fax
- (541) 757-9741
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jay A. Seitz, O.D.
- Title
- Partner
- Phone
- (541) 757-1120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1404AT | OR | Primary |
Addresses
Primary practice location
130 SW 3Rd St
Corvallis, OR 97333-4714
Mailing address
130 SW 3Rd St
Corvallis, OR 97333-4714
Phone (541) 757-1120
National Provider Directory
National Provider DirectoryLocations
130 SW 3rd St
Corvallis, OR 97333
Phone (541) 747-1120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235260209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SW 3RD ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334714",
"telephone_number": "541-757-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SW 3RD ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334714",
"telephone_number": "541-757-1120",
"fax_number": "541-757-9741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORVALLIS VISION CNETER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEITZ",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "541-757-1120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OR",
"license": "1404AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- 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.