DRS Mauck & Perkins Opt PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DRS MAUCK & PERKINS OPT PC

Doing business as

MId Columbia Vision Center

Practice address

415 Washington St
The Dalles, OR 97058-2215

Phone

(541) 296-2911

Fax

(541) 296-2224

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jay W Mauck, ODNPI 1184608325

Title

President

Phone

(541) 296-2911

Specialties & licenses 1

Addresses

Other names 1

• MId Columbia Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

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

• Stephen Westgate Haynes, O.D.

  • Optometrist
  • The Dalles, OR
  • NPI 1952603805
  Medicare reassignment Care Compare group NPD
• Ryan Michael Lebreton, OD

  • Optometrist
  • The Dalles, OR
  • NPI 1528042769
  Medicare reassignment Care Compare group NPD
• Robert Ray Perkins, OD

  • Optometrist
  • The Dalles, OR
  • NPI 1164406740
  Medicare reassignment NPD
• Jay Wilfred Mauck, OD

  • Optometrist
  • The Dalles, OR
  • NPI 1184608325
  NPD (past) Authorized official

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1407841406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970580883",
            "telephone_number": "541-296-2911",
            "fax_number": "541-296-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WASHINGTON ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582215",
            "telephone_number": "541-296-2911",
            "fax_number": "541-296-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MAUCK & PERKINS OPT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "MAUCK",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-296-2911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MId Columbia Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John M Donovan, D.C.
• Nicole Dorsey
• Andrea Luise Dorzab, CSWA
• Dr. Holly J. Nichols, DMD, PC
• Stephanie A Drew, L.M.T.
• Jonica Durbin
• Elena Marie Durham, OTR/L
• Melissa Duyck
• Tomasina Eagleson
• Haley Easling, DMD

• Optometrist in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.