Integrated Eyecare Holdings, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3133ATI Issued in OR

Legal business name

INTEGRATED EYECARE HOLDINGS, LLC

Practice address

452 NE Greenwood Ave
Bend, OR 97701-4645

Phone

(541) 382-5701

NPI assigned

Jan 1, 2017

Last updated

Jan 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirsten C Scott, OD, MSNPI 1952386575

Title

Manager

Phone

(541) 382-5701

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

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.

• Kirsten Carmiencke Scott, OD MS

  • Optometrist
  • Bend, OR
  • NPI 1952386575
  Medicare reassignment Care Compare group NPD Authorized official
• Taran L Lasater, O.D.

  • Optometrist
  • Bend, OR
  • NPI 1265662381
  Medicare reassignment Care Compare group NPD
• Lindsey Broida Kuehl Slinger, O.D.

  • Optometrist
  • Bend, OR
  • NPI 1619329562
  Medicare reassignment Care Compare group NPD
• Patrick David Swihart, OD

  • Optometrist
  • Bend, OR
  • NPI 1568087278
  Medicare reassignment Care Compare group NPD
• Kerri Lyons, O.D.

  • Optometrist
  • Memphis, TN
  • NPI 1982249629

  OR

  Medicare reassignment Care Compare group NPD
• Abigail Grace Timmerman, OD

  • Optometrist
  • Wailuku, HI
  • NPI 1932723756
  NPD
• Gabrielle Warren Marshall, OD

  • Optometrist
  • Bend, OR
  • NPI 1326122680
  NPD (past)

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483228800000",
    "number": "1497290316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014645",
            "telephone_number": "541-382-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014645",
            "telephone_number": "541-382-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED EYECARE HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-01",
        "last_updated": "2017-01-01",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-382-5701",
        "authorized_official_credential": "OD, MS"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3133ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218686",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bend, OR
• Providers in Bend, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; 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.