NPIMap

Organization Active NPI

Albany Vision Care, PC

  • Optometrist
  • Albany, OR
National Provider Identifier
1851784904
Registry record updated Nov 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2431ATI Issued in OR
Legal business name
ALBANY VISION CARE, PC
Practice address
3130 Killdeer Ave SE
Albany, OR 97322-5359
Phone
(541) 918-7067
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2017

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

Authorized official

Name
Hyun Jang
Title
President
Phone
(541) 918-7067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2431ATI OR Primary

Addresses

Primary practice location

3130 Killdeer Ave SE
Albany, OR 97322-5359

Mailing address

3130 Killdeer Ave SE
Albany, OR 97322-5359

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511568000000",
    "number": "1851784904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 KILLDEER AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 KILLDEER AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225359",
            "telephone_number": "541-918-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY VISION CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2017-11-25",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-918-7067"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2431ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; 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.