Linn County Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LINN COUNTY VISION CENTER, LLC

Practice address

2169 14TH Ave SE
Albany, OR 97322-8510

Phone

(541) 928-6118

NPI assigned

Sep 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jason Drobeck, ODNPI 1710368139

Title

Owner and Sole Member of LLC

Phone

(760) 261-8339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

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

• Jason Michael Drobeck, O.D.

  • Optometrist
  • Barstow, CA
  • NPI 1710368139

  OR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1537056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537056000000",
    "number": "1255815205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 CLOUDBURST AVE NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973042818",
            "telephone_number": "760-261-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228510",
            "telephone_number": "541-928-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINN COUNTY VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-16",
        "last_updated": "2018-09-16",
        "status": "A",
        "authorized_official_last_name": "DROBECK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER AND SOLE MEMBER OF LLC",
        "authorized_official_telephone_number": "760-261-8339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linn Benton Lincoln Education Service Distric
• Linn County
• Linn County
• Linn County Alcohol and Drug
• Linn County Mental Health
• Linn-Benton Community College
• Linn-Benton-Lincoln Early Intervention
• Linn-Benton-Lincoln Education Service District
• Lea Lipscomb, IBCLC
• Livingston DDS of Oregon LLC

• Optometrist in Albany, OR
• Providers in Albany, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2018; 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.