Roseburg Clinic, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD17071 Issued in OR

Legal business name

ROSEBURG CLINIC, P.C.

Practice address

341 Medical Loop
Ste 120
Roseburg, OR 97471-5546

Phone

(541) 673-8988

Fax

(541) 672-8103

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Brad Seely, M.D.

Title

Physician

Phone

(541) 673-8988

Specialties & licenses 1

Addresses

Other names 1

• Umpqua Valley Eye Associates Doing business as

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1316043979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712608",
            "telephone_number": "541-673-8988",
            "fax_number": "541-672-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MEDICAL LOOP",
            "address_2": "STE 120",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715546",
            "telephone_number": "541-673-8988",
            "fax_number": "541-672-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBURG CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "SEELY",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-673-8988",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD17071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Umpqua Valley Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.