NPIMap

Organization Active NPI

Sterling Vision, PC

  • Ophthalmology Physician
  • Eugene, OR
National Provider Identifier
1902161946
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
STERLING VISION, PC
Practice address
1011 Valley River Way Ste 110
Eugene, OR 97401-2127
Phone
(541) 762-2763
Fax
(541) 434-0912
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Dr. Albert O Edwards, MD, PHDNPI 1215930763
Title
Owner/Physician
Phone
(541) 762-2763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X
Medical Specialty Clinic/Center 261QM2500X
Research Clinic/Center 261QR1100X
Ophthalmologic Surgery Clinic/Center 261QS0132X
Non-Pharmacy Dispensing Site 332900000X
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

1011 Valley River Way Ste 110
Eugene, OR 97401-2127

Mailing address

1011 Valley River Way Ste 110
Eugene, OR 97401-2127
Phone (541) 762-2763

Other names 1

  • Oregon Retina Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121018000464 OR Part B Supplier - Clinic/Group Practice 3173773694 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
Practice locations: Junction City, OR; Springfield, OR; Salem, OR; Florence, OR; Eugene, OR

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1430 Willamette St
#17
Eugene, OR 97401

Interoperability endpoints

  • Direct secure messaging: jolson-merrick@orretina.intellechartdirect.net
  • Direct secure messaging: glemay@orretina.intellechartdirect.net
  • Direct secure messaging: vtodaro@orretina.intellechartdirect.net
  • Direct secure messaging: aporkar@orretina.intellechartdirect.net
  • Direct secure messaging: jetzel@orretina.intellechartdirect.net
  • Direct secure messaging: jkruid@orretina.intellechartdirect.net
  • Direct secure messaging: aedwards@orretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1902161946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 VALLEY RIVER WAY STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012127",
            "telephone_number": "541-762-2763",
            "fax_number": "541-434-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 VALLEY RIVER WAY STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012127",
            "telephone_number": "541-762-2763",
            "fax_number": "541-434-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING VISION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "541-762-2763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Retina",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.