Oregon Retina, LLP

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD20042 Issued in OR

Legal business name

OREGON RETINA, LLP

Practice address

775 SW 9TH St Ste a
Newport, OR 97365-4882

Phone

(541) 762-2763

Fax

(541) 434-0912

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Albert Edwards, MD, PHD

Title

Physician/Owner

Phone

(541) 762-2763

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Oregon Retina, LLP

  • Ophthalmology Physician
  • Gold Beach, OR
  • NPI 1750703575

  O20121018000464

  Same enrollment
• Oregon Retina, LLP

  • Ophthalmology Physician
  • Coquille, OR
  • NPI 1962824060

  O20121018000464

  Same enrollment
• Sterling Vision, PC

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1902161946

  O20121018000464

  Same enrollment

Locations

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1467717405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OAK ST STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017701",
            "telephone_number": "541-762-2763",
            "fax_number": "541-434-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SW 9TH ST STE A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654882",
            "telephone_number": "541-762-2763",
            "fax_number": "541-434-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON RETINA, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "541-762-2763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD20042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Coast Transporters, LLC
• Oregon Coastal Rehab/Dba Newport Physical Therapy
• Oregon Coastal Rehab/Dba Newport Physical Therapy
• Oregon Holistic Counseling
• Oregon Retina, LLC
• Alesha Orton, RD
• Marah Ann Owecke
• Cheryl Lynn Owen, RN
• Pacific Counseling Services
• Pacific Sleep Solutions and Diagnostic Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.