Organization Active NPI

The Eye Center LLC

  • Ophthalmology Physician
  • Newport, OR
National Provider Identifier
1801059274
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THE EYE CENTER LLC
Practice address
775 SW 9TH St
Suite a
Newport, OR 97365
Phone
(541) 683-2020
Fax
(541) 683-1509
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
John H Haines, MDNPI 1912906496
Title
Physician/Owner
Phone
(541) 683-2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

775 SW 9TH St
Suite a
Newport, OR 97365

Mailing address

1550 Oak St
Suite 3
Eugene, OR 97401-7701
Phone (541) 683-2020

Other identifiers 1

IdentifierTypeStateIssuer
262472MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817001454 OR Part B Supplier - Clinic/Group Practice 3779556774 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eugene, OR; Newport, OR; Florence, OR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
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.

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": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1801059274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OAK ST",
            "address_2": "SUITE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017701",
            "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": "775 SW 9TH ST",
            "address_2": "SUITE A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "541-683-2020",
            "fax_number": "541-683-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "541-683-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262472",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

  • 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.