Cascade Eye Centerllc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DO22937 Issued in OR

Legal business name

CASCADE EYE CENTERLLC

Doing business as

Cascade Eye Center

Practice address

301 Cherry Heights Rd
The Dalles, OR 97058-3586

Phone

(541) 296-1101

Fax

(541) 298-1538

NPI assigned

May 12, 2006

Last updated

Jun 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John D. Willer, D.O.NPI 1255383212

Title

Ownerpartner

Phone

(541) 296-1101

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Cascade Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Tax ID family

Cascade Eye Centerllc3 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.

• Cascade Eye Center LLC

  • Eyewear Supplier
  • The Dalles, OR
  • NPI 1326747361
  NPD tax ID
• Cascade Eye Center LLC

  • Eyewear Supplier
  • Hood River, OR
  • NPI 1710673124
  NPD tax ID

Locations

Practitioners 5

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.

• John D. Willer, D.O.

  • Ophthalmology Physician
  • The Dalles, OR
  • NPI 1255383212
  Medicare reassignment Care Compare group NPD Authorized official
• Dale H Bricker, O.D.

  • Optometrist
  • The Dalles, OR
  • NPI 1013082148
  Medicare reassignment Care Compare group NPD
• Bernard Jeffrey Pulk, O.D.

  • Optometrist
  • The Dalles, OR
  • NPI 1689653354
  Medicare reassignment Care Compare group NPD
• Jenessa Leigh Hartman, O.D.

  • Optometrist
  • The Dalles, OR
  • NPI 1366704611
  Medicare reassignment NPD
• Mitchell L. Martin, O.D.

  • Optometrist
  • Redding, CA
  • NPI 1588615736
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1821049073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CHERRY HEIGHTS RD",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583586",
            "telephone_number": "541-296-1101",
            "fax_number": "541-298-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CHERRY HEIGHTS RD",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583586",
            "telephone_number": "541-296-1101",
            "fax_number": "541-298-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE EYE CENTERLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "WILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNERPARTNER",
        "authorized_official_telephone_number": "541-296-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "DO22937",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "OP00002068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287610",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cascade Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Y Carrera
• Arturo Carrillo Jr., PT, DPT
• Maria C Casas, LCSW
• Cascade Acupuncture Center, LLC
• Cascade Eye Center LLC
• Cascade Orthopedics & Sports Medicine Center, PC
• Jessica Michelle Catellier, MED
• Celilo Surgical LLC
• Elizabeth Cerasani
• Jeannette Chace

• Ophthalmology Physician in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.