NPIMap

Organization Active NPI

Pacific Clear Vision Institute, PC

Doing business as Pacific ClearVision Institute

  • Ophthalmology Physician
  • Eugene, OR
National Provider Identifier
1699812719
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD16207 Issued in OR
Legal business name
PACIFIC CLEAR VISION INSTITUTE, PC
Doing business as
Pacific ClearVision Institute
Practice address
360 S Garden Way Ste 250
Eugene, OR 97401-8175
Phone
(541) 343-0000
Fax
(541) 344-9478
NPI assigned
Jan 30, 2007
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Dr. Balamurali K Ambati, MDNPI 1750397576
Title
Owner
Phone
(541) 343-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X MD16207 OR Primary

Addresses

Primary practice location

360 S Garden Way Ste 250
Eugene, OR 97401-8175

Mailing address

360 S Garden Way Ste 250
Eugene, OR 97401-8175
Phone (541) 343-0000

Other practice location 1

1125 Darlene Ln
Suite 100
Eugene, OR 97401-1601
Phone (541) 343-5000

Other practice location 2

489 W. South Jordan Parkway
Suite 300
South Jordan, UT 84095-8409
Phone (385) 222-2020

Other practice location 3

257 N 8th St
Cottage Grove, OR 97424-1612
Phone (541) 942-5000

Other identifiers 1

IdentifierTypeStateIssuer
004748000OtherORBCBS OF OREGON

Other names 2

  • Pacific ClearVision Institute Doing business as
  • Scott A Cherne MD PC Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040407001562 OR Part B Supplier - Clinic/Group Practice 9931192515 Receives reassigned benefits from 6 practitioners
Practice locations: Coquille, OR; Springfield, OR; Roseburg, OR; North Bend, OR; Eugene, OR; Cottage Grove, OR; Bandon, OR
O20100930068169 OR DME Supplier - Physician - OptometristDME Supplier - Optician 9931192515 Practice locations: Eugene, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2129622Pacific Clear Vision Institute360 South Garden Way Suite 250, Eugene, OR 97401Certificate of waiverDec 31, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pacific Clear Vision Institute360 S Garden Way, Eugene, OR 97401-8175(541) 343-5000 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

395 2nd St SE
Bandon, OR 97411
Phone (541) 347-3622

257 N 8th St
Cottage Grove, OR 97424
Phone (503) 942-0181

405 Boyd Ln
Monmouth, OR 97361
Phone (503) 838-1244

47581 Highway 58
Oakridge, OR 97463
Phone (541) 781-5000

Practitioners & affiliated clinicians

Practitioners 8

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1699812719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 250",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018175",
            "telephone_number": "541-343-0000",
            "fax_number": "541-344-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 250",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018175",
            "telephone_number": "541-343-0000",
            "fax_number": "541-344-9478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Darlene Ln",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974011601",
            "country_code": "US",
            "telephone_number": "541-343-5000",
            "fax_number": "541-344-9478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "489 W. South Jordan Parkway",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840958409",
            "country_code": "US",
            "telephone_number": "385-222-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974241612",
            "country_code": "US",
            "telephone_number": "541-942-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC CLEAR VISION INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "AMBATI",
        "authorized_official_first_name": "BALAMURALI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-343-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD16207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OREGON",
            "identifier": "004748000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific ClearVision Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scott A Cherne MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Scott A Cherne MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 7, 2024; 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.