Organization Active NPI

Apple Eyecare PC

  • Optometrist
  • Island City, OR
National Provider Identifier
1538345269
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
APPLE EYECARE PC
Practice address
10709 Walton Road
Island City, OR 97850
Phone
(541) 962-7753
Fax
(541) 963-0750
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Barbara A Beckner
Title
Vice President
Phone
(541) 962-7753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10709 Walton Road
Island City, OR 97850

Mailing address

10709 Walton Road
Island City, OR 97850
Phone (541) 962-7753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040816001117 OR Part B Supplier - Clinic/Group Practice 5799758959 Receives reassigned benefits from 3 practitioners
Practice locations: Island City, OR
O20100930083258 OR DME Supplier - Physician - Optometrist 5799758959 Practice locations: La Grande, OR

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Apple Eycare PC10709 S Walton Rd, La Grande, OR 97850-8490(541) 962-7753 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Mar 25, 2003

National Provider Directory

National Provider Directory

Locations

109 Elm St
La Grande, OR 97850
Phone (541) 962-7753

10709 S Walton Rd
La Grande, OR 97850
Phone (541) 962-7753

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1538345269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 WALTON ROAD",
            "city": "ISLAND CITY",
            "state": "OR",
            "postal_code": "97850",
            "telephone_number": "541-962-7753",
            "fax_number": "541-963-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 WALTON ROAD",
            "city": "ISLAND CITY",
            "state": "OR",
            "postal_code": "97850",
            "telephone_number": "541-962-7753",
            "fax_number": "541-963-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "BECKNER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "541-962-7753"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.