Organization Active NPI

Northwest Eye Center PC

  • Ophthalmology Physician
  • Roseburg, OR
National Provider Identifier
1437203858
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTHWEST EYE CENTER PC
Practice address
2435 NW Kline St
Roseburg, OR 97471-1690
Phone
(541) 672-2020
Fax
(541) 673-8084
NPI assigned
Jan 23, 2007
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Ms. Pam D Bellis
Title
Financial Coordinator
Phone
(541) 672-2020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2435 NW Kline St
Roseburg, OR 97471-1690

Mailing address

2435 NW Kline St
Roseburg, OR 97471-1690
Phone (541) 672-2020

Other names 1

  • Optical Weston Other name

National Provider Directory

National Provider Directory

Locations

94225 4th St
#B
Gold Beach, OR 97444
Phone (541) 247-7212

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1437203858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 NW KLINE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711690",
            "telephone_number": "541-672-2020",
            "fax_number": "541-673-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 NW KLINE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711690",
            "telephone_number": "541-672-2020",
            "fax_number": "541-673-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "BELLIS",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "541-672-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Weston",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.