Organization Active NPI

Corvallis Vision Cneter P.C.

  • Optometrist
  • Corvallis, OR
National Provider Identifier
1235260209
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1404AT Issued in OR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.