Eye Care of John Day

Primary specialty

OptometristTaxonomy code 152W00000X

License

3534AT Issued in OR

Legal business name

EYE CARE OF JOHN DAY

Practice address

401 W Main St Ste a
John Day, OR 97845-1075

Phone

(541) 575-1819

Fax

(541) 575-0965

NPI assigned

Apr 3, 2014

Last updated

Apr 3, 2014By 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

Ashley B Labhart

Title

Secretary

Phone

(541) 575-1819

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• David Michael Archibald, O.D.

  • Optometrist
  • John Day, OR
  • NPI 1144459793
  Medicare reassignment NPD

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1821416082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST STE A",
            "city": "JOHN DAY",
            "state": "OR",
            "postal_code": "978451075",
            "telephone_number": "541-575-1819",
            "fax_number": "541-575-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST STE A",
            "city": "JOHN DAY",
            "state": "OR",
            "postal_code": "978451075",
            "telephone_number": "541-575-1819",
            "fax_number": "541-575-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OF JOHN DAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "LABHART",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "541-575-1819"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3534AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Dancer, PSS
• Maxine Suzanne Day, MA QMHP
• Michelle Deming
• Michael B Desjardin, D.M.D.
• Deborah Ann Elster, PT
• Amanda Jean Forbes, CADC
• Amber Diane Ford
• Cala M Fuller
• Nina Leanne Gast, LCSW
• Michelle Jeanne Gibson, LCSW

• Optometrist in John Day, OR
• Providers in John Day, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.