Valley Eye Care P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

1046ATI Issued in OR

Legal business name

VALLEY EYE CARE P C

Practice address

1505 NW Harrison Blvd
Corvallis, OR 97330-5816

Phone

(541) 754-6222

Fax

(541) 757-2055

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Ross Hale, O.D.NPI 1215903125

Title

Owner

Phone

(541) 754-6222

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 5

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

• James Ross Hale, O.D.

  • Optometrist
  • Corvallis, OR
  • NPI 1215903125
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory Michael Valle, O.D.

  • Optometrist
  • Corvallis, OR
  • NPI 1821350687
  Medicare reassignment Care Compare group NPD
• Robert Bruce Young, O.D.

  • Optometrist
  • Corvallis, OR
  • NPI 1821063694
  Medicare reassignment Care Compare group NPD
• Tyler S Rose, OD

  • Optometrist
  • East Lansing, MI
  • NPI 1942668389

  OR

  Medicare reassignment Care Compare group NPD
• Eric H Knutson, O.D.

  • Optometrist
  • Corvallis, OR
  • NPI 1982679114
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1275655391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NW HARRISON BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305816",
            "telephone_number": "541-754-6222",
            "fax_number": "541-757-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NW HARRISON BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305816",
            "telephone_number": "541-754-6222",
            "fax_number": "541-757-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-754-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1046ATI",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2674ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3026ATI",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "055502000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Elizabeth Valentine
• Gregory Michael Valle, O.D.
• Ronald U Vallejo, M.D.
• Valley Clinics
• Valley Endodontics
• Valley Pathology Services PC
• Lauren Van Arsdel
• Kyle M Van de Graaff, M.D.
• Rita Van Doren, RPH
• Maci Van Dyke

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.