NPIMap

Organization Active NPI

Silverton Eyecare

  • Optometrist
  • Silverton, OR
National Provider Identifier
1336570423
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1160ATI Issued in OR
Legal business name
SILVERTON EYECARE
Practice address
114 W Main St
Silverton, OR 97381-2019
Phone
(503) 874-2020
NPI assigned
Nov 27, 2013
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Dr. Leroy Gilge, O.D.
Title
Owner/Optometrist
Phone
(503) 874-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1160ATI OR Primary

Addresses

Primary practice location

114 W Main St
Silverton, OR 97381-2019

Mailing address

114 W Main St
Silverton, OR 97381-2019
Phone (503) 874-2020

National Provider Directory

National Provider Directory

Locations

114 W Main St
Silverton, OR 97381
Phone (503) 873-2788

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1336570423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973812019",
            "telephone_number": "503-874-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973812019",
            "telephone_number": "503-874-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERTON EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "GILGE",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "503-874-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1160ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.