The Eye Center LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THE EYE CENTER LLC

Practice address

1550 Oak Street
Suite #3
Eugene, OR 97401

Phone

(541) 683-2020

Fax

(541) 683-1509

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

John Haines, MDNPI 1912906496

Title

Owner

Phone

(541) 683-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• The Eye Center LLC

  • Optometrist
  • Eugene, OR
  • NPI 1245579994

  3779556774

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Eye Center LLC

  • Ophthalmology Physician
  • Newport, OR
  • NPI 1801059274

  O20040817001454

  Same enrollment

Tax ID family

The Eye Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Eye Center LLC

  • Optometrist
  • Eugene, OR
  • NPI 1245579994
  NPD tax ID
• The Eye Center LLC

  • Ophthalmology Physician
  • Newport, OR
  • NPI 1801059274
  NPD tax ID

Locations

Practitioners 4

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

• John H. Haines, M.D.

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1912906496
  Medicare reassignment Care Compare group NPD Authorized official
• Michael S. Lackman, O.D.

  • Optometrist
  • Eugene, OR
  • NPI 1497728398
  Medicare reassignment Care Compare group NPD
• John D Polansky, M.D.

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1942208640
  Medicare reassignment Care Compare group NPD
• Brian David Walker, MD

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1386140101
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1770664484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OAK STREET",
            "address_2": "SUITE #3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-683-2020",
            "fax_number": "541-683-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OAK STREET",
            "address_2": "SUITE #3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-683-2020",
            "fax_number": "541-683-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-683-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262472",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ3639",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.