Medical Center Eye Clinic LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MEDICAL CENTER EYE CLINIC LLC

Practice address

655 Medical Center Dr NE
Salem, OR 97301-2751

Phone

(503) 581-5287

Fax

(503) 588-6843

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Shellea Montgomery

Title

Practice Administrator

Phone

(503) 581-5287

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 10

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

• Uldis Janis Berzins, MD

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1831194190
  Medicare reassignment Care Compare group NPD
• Marcus Allan East, MD

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1205883865
  Medicare reassignment Care Compare group NPD
• Donald Hubbard II, MD

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1285213819
  Medicare reassignment Care Compare group NPD
• Patrick Kwong, OD

  • Optometrist
  • Portland, OR
  • NPI 1427041961
  Medicare reassignment Care Compare group NPD
• Ryan W Lapour, MD

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1043327521
  Medicare reassignment Care Compare group NPD
• Adam T Shupe, O.D.

  • Optometrist
  • Salem, OR
  • NPI 1154567790
  Medicare reassignment Care Compare group NPD
• John G Dodd, DO

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1215190400
  Medicare reassignment NPD
• Elmer Theodore Sornson Jr., MD

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1518961119
  NPD (past)
• Thomas R Stevens, MD

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1770587370
  NPD (past)
• Robert Earl Tibolt, MD

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1467456061
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1255859799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MEDICAL CENTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012751",
            "telephone_number": "503-581-5287",
            "fax_number": "503-386-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MEDICAL CENTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012751",
            "telephone_number": "503-581-5287",
            "fax_number": "503-588-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SHELLEA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "503-581-5287"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharlene Ann Meakins
• Rachel Lee Means, DMD
• Joanna Michelle Meas, BSDH
• Kiri Sobenski Meas, AA
• Debra L Medford, LPN
• Medicinal Innovations
• Jorge Medina
• Samantha Medkiff, CRNA
• Adrienne Mee, NP-C
• Marilyn Darlene Meeker, MS, CRC, QMHP

• Ophthalmology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.