Corvallis Eye Care

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1197ATI Issued in OR

Legal business name

CORVALLIS EYE CARE

Practice address

2117 NW Fillmore Ave
Corvallis, OR 97330-5624

Phone

(541) 752-9606

Fax

(541) 758-7201

NPI assigned

Jul 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ed Charles Baer, ODNPI 1356341275

Title

Owner

Phone

(541) 752-9606

Specialties & licenses 1

Addresses

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.

• Ed Charles Baer, OD

  • Optometrist
  • Corvallis, OR
  • NPI 1356341275
  NPD (past) Authorized official

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1851708176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 NW FILLMORE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305624",
            "telephone_number": "541-752-9606",
            "fax_number": "541-758-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 NW FILLMORE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305624",
            "telephone_number": "541-752-9606",
            "fax_number": "541-758-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORVALLIS EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-752-9606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OR",
            "license": "1197ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corvallis Daytime Drop-in Center
• Corvallis Dental Group Inc
• Corvallis Family Dentistry, LLC
• Corvallis Family Medicine PC
• Corvallis Gastroenterology PC
• Corvallis Homeless Shelter Coalition (Corvallis Housing First)
• Corvallis Internal Medicine, PC

• Eyewear Supplier in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Eyewear Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.