Individual provider Active NPI

Keirsten Danee Eagles, O.D.

  • Optometrist
  • Silverton, OR
National Provider Identifier
1881893626
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3228ATI Issued in OR
Practice address
600 N 1St St
Silverton, OR 97381-1404
Phone
(503) 873-8619
Fax
(503) 873-8282
NPI assigned
Jul 12, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3228ATI OR Primary

Addresses

Primary practice location

600 N 1St St
Silverton, OR 97381-1404

Mailing address

600 N 1St St
Silverton, OR 97381-1404
Phone (503) 873-8619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071017000871 OR Practitioner - Optometry 7719073089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverton Eye Care LLCGroup PAC ID 8123248788, 2 clinicians

Practice addresses (Care Compare)

114 W Main St
Silverton, OR 97381-2019
Phone (503) 874-2020

3494 Liberty Rd S
Salem, OR 97302-4607
Phone (503) 385-8361

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3228ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Eye Care LLC Optometrist CurrentSince Aug 11, 2014 Accepting new patients
Eagle Eye Vision Care LLC Optometrist CurrentSince Nov 23, 2021 Accepting new patients
Reed Eyecare, PC Optometrist PastSince Dec 29, 2024 Accepting new patients
Silverton Eyecare Optometrist PastSince Oct 9, 2014 Accepting new patients

Locations

3494 Liberty Rd S
Salem, OR 97302
Phone (503) 385-8361

114 W Main St
Silverton, OR 97381
Phone (503) 873-2788

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1881893626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 1ST ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811404",
            "telephone_number": "503-873-8619",
            "fax_number": "503-873-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 1ST ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811404",
            "telephone_number": "503-873-8619",
            "fax_number": "503-873-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLES",
        "first_name": "KEIRSTEN",
        "middle_name": "DANEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3228ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

Verify at the official NPI Registry.