NPIMap

Organization Active NPI

Cascade Eyecare Center PC

  • Ophthalmology Physician
  • Grants Pass, OR
National Provider Identifier
1295758696
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD16756 Issued in OR
Legal business name
CASCADE EYECARE CENTER PC
Practice address
1226 NE 7TH St
Grants Pass, OR 97526-1424
Phone
(541) 476-6636
Fax
(541) 476-6690
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. Douglas R. Merritt, M.D.NPI 1093718322
Title
President
Phone
(541) 476-6636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD16756 OR Primary

Addresses

Primary practice location

1226 NE 7TH St
Grants Pass, OR 97526-1424

Mailing address

1226 NE 7TH St
Grants Pass, OR 97526-1424
Phone (541) 476-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040810000394 OR Part B Supplier - Clinic/Group Practice 7113999236 Receives reassigned benefits from 7 practitioners
Practice locations: Grants Pass, OR
O20100930027012 OR DME Supplier - Physician - Ophthalmology 7113999236 Practice locations: Grants Pass, OR

National Provider Directory

National Provider Directory

Locations

1226 NE 7th St
Grants Pass, OR 97526
Phone (541) 476-6636

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1295758696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261424",
            "telephone_number": "541-476-6636",
            "fax_number": "541-476-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261424",
            "telephone_number": "541-476-6636",
            "fax_number": "541-476-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE EYECARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-476-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD16756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.