Organization Active NPI

Retina Group of Oregon, LLC

  • Ophthalmology Physician
  • Eugene, OR
National Provider Identifier
1538611710
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD169541 Issued in OR
Legal business name
RETINA GROUP OF OREGON, LLC
Practice address
360 S Garden Way Ste 101a
Eugene, OR 97401-8173
Phone
(541) 237-8400
Fax
(541) 237-8500
NPI assigned
Nov 4, 2016
Last updated
Apr 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Dr. Allan A Hunter III, M.D.NPI 1184748030
Title
Owner
Phone
(443) 604-0348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD169541 OR Primary

Addresses

Primary practice location

360 S Garden Way Ste 101a
Eugene, OR 97401-8173

Mailing address

360 S Garden Way Ste 101a
Eugene, OR 97401-8173
Phone (541) 237-8400

National Provider Directory

National Provider Directory

Locations

360 S Garden Way
Ste 101A
Eugene, OR 97401
Phone (541) 237-8400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1538611710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 101A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018173",
            "telephone_number": "541-237-8400",
            "fax_number": "541-237-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 101A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018173",
            "telephone_number": "541-237-8400",
            "fax_number": "541-237-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA GROUP OF OREGON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-604-0348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD169541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.