Estes Enterprizes, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OR1225ATI Issued in OR

Legal business name

ESTES ENTERPRIZES, LLC

Doing business as

Custom Eyes of Albany

Practice address

904 Pacific Blvd SE
Albany, OR 97321-3149

Phone

(541) 928-2020

Fax

(541) 928-2043

NPI assigned

Jan 11, 2012

Last updated

Apr 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marylou Estes

Title

Practice Administrator

Phone

(541) 928-2020

Specialties & licenses 1

Addresses

Other names 1

• Custom Eyes of Albany Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Marie Goldstein, O.D.

  • Optometrist
  • Central Point, OR
  • NPI 1407086739
  NPD (past)
• Masha L Molodyh, OD

  • Optometrist
  • Wilsonville, OR
  • NPI 1356902209
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1285904961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 PACIFIC BLVD SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213149",
            "telephone_number": "541-928-2020",
            "fax_number": "541-928-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 PACIFIC BLVD SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213149",
            "telephone_number": "541-928-2020",
            "fax_number": "541-928-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTES ENTERPRIZES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "MARYLOU",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "541-928-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "OR1225ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Eyes of Albany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Lee Ericks, RN
• Reuben Chester Ernst, DPT
• Amanda Ervin, RN
• Crystal Marie Eshelman
• Yesenia Espaillat
• Michael K Estes, O.D.
• Edwar Jose Fernando Estupinian
• Eudaemonia Behavioral Health LLC
• Hailey Amanda Eustice, MS, CCC-SLP
• Sara Evanko, PHARMD

• 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 Apr 4, 2012; 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.