NPIMap

Organization Active NPI

Peacehealth Medical Group

  • Eyewear Supplier
  • Eugene, OR
National Provider Identifier
1386814333
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PEACEHEALTH MEDICAL GROUP
Practice address
1162 Willamette St
Eugene, OR 97401-3568
Phone
(541) 687-6166
NPI assigned
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PEACEHEALTH MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Karen M Shepard
Title
Cfo
Phone
(541) 686-3968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1162 Willamette St
Eugene, OR 97401-3568

Mailing address

PO Box 24410
Eugene, OR 97402-0451

National Provider Directory

National Provider Directory
Tax ID family
Peacehealth Medical Group11 organizations share this tax ID, including this one
Part of
Peacehealth Medical Group

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1386814333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24410",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013568",
            "telephone_number": "541-687-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEACEHEALTH MEDICAL GROUP",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-686-3968"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.