Deschutes Eye Clinic PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DESCHUTES EYE CLINIC PC

Practice address

813 SW Highland Ave
Redmond, OR 97756-3123

Phone

(541) 548-7170

Fax

(541) 548-3842

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Oli I Traustason, M.D.

Title

President

Phone

(541) 548-7170

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• The Eye Surgery Institute Doing business as

Locations

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1528050523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 SW HIGHLAND AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563123",
            "telephone_number": "541-548-7170",
            "fax_number": "541-548-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 SW HIGHLAND AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563123",
            "telephone_number": "541-548-7170",
            "fax_number": "541-548-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHUTES EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "TRAUSTASON",
        "authorized_official_first_name": "OLI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-548-7170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "053857000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ8770",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEAR CHOICE",
            "identifier": "38080A",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Elizabeth Delance
• Julia Delbeccaro
• Christina Dellera-Storo
• Justin P Dennery, N.P.
• Deschutes Eye Clinic Inc
• Deschutes Laser Therapy. LLC
• Desert Bone & Joint Specialists LLP
• Desert Peaks Health Care, LLC
• James K Detwiler, MD
• Derek Devol

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.