NPIMap

Organization Active NPI

Eye Care Physicians & Surgeons, Inc.

  • Eyewear Supplier
  • Salem, OR
National Provider Identifier
1659407625
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
0581530001 Issued in OR
Legal business name
EYE CARE PHYSICIANS & SURGEONS, INC.
Practice address
1309 Liberty St SE
Salem, OR 97302-4245
Phone
(503) 585-2022
Fax
(503) 378-0797
NPI assigned
Feb 26, 2007
Last updated
Dec 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Mr. Orval L Gilmore, CPA
Title
Clinic Administrator
Phone
(503) 585-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 0581530001 OR Primary

Addresses

Primary practice location

1309 Liberty St SE
Salem, OR 97302-4245

Mailing address

1309 Liberty St SE
Salem, OR 97302-4245
Phone (503) 585-2022

National Provider Directory

National Provider Directory

Locations

1309 Liberty St SE
Salem, OR 97302
Phone (503) 585-2022

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1659407625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024245",
            "telephone_number": "503-585-2022",
            "fax_number": "503-378-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024245",
            "telephone_number": "503-585-2022",
            "fax_number": "503-378-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE PHYSICIANS & SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "ORVAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "503-585-2022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OR",
            "license": "0581530001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.