NPIMap

Organization Active NPI

Jeffrey C Pitts

Doing business as Ontario Medical Associates

  • Ophthalmology Physician
  • Ontario, OR
National Provider Identifier
1871663195
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13467 Issued in OR
Legal business name
JEFFREY C PITTS
Doing business as
Ontario Medical Associates
Practice address
269 SW 19TH St
Ontario, OR 97914-1972
Phone
(541) 889-3106
Fax
(541) 889-3904
NPI assigned
Nov 8, 2006
Last updated
Oct 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Dr. Jeffrey C Pitts, MDNPI 1477621662
Title
Owner Manager Sole Proprietor
Phone
(541) 889-3106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 13467 OR Primary

Addresses

Primary practice location

269 SW 19TH St
Ontario, OR 97914-1972

Mailing address

269 SW 19TH St
Ontario, OR 97914-1972
Phone (541) 889-3106

Other names 1

  • Ontario Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

269 SW 19th St
Ontario, OR 97914
Phone (541) 889-3106

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1871663195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 SW 19TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141972",
            "telephone_number": "541-889-3106",
            "fax_number": "541-889-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 SW 19TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141972",
            "telephone_number": "541-889-3106",
            "fax_number": "541-889-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C PITTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER MANAGER SOLE PROPRIETOR",
        "authorized_official_telephone_number": "541-889-3106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "13467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ontario Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.