Eugene Eye Clinic LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

051837-85 Issued in OR

Legal business name

EUGENE EYE CLINIC LLC

Doing business as

Willamette Spectacle Shop

Practice address

2460 Willamette St
Eugene, OR 97405-3169

Phone

(541) 683-3746

Fax

(541) 683-3747

NPI assigned

May 22, 2015

Last updated

May 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue Stoneburner

Title

Optician

Phone

(541) 683-3746

Specialties & licenses 1

Addresses

Other names 1

• Willamette Spectacle Shop Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eugene Eye Clinic, LLC

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1952789380

  0244542843

  Same PAC ID

Tax ID family

Eugene Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eugene Eye Clinic, LLC

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1952789380
  NPD tax ID

Practitioners 3

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.

• Jason P. Gross, M.D.

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1609862846
  NPD
• Janet M Lim, M.D., M.B.A.

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1912223587
  NPD
• Kent Douglas Reynolds, O.D.

  • Optometrist
  • Albany, OR
  • NPI 1043226178
  NPD

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1912386004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053169",
            "telephone_number": "541-683-3746",
            "fax_number": "541-683-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053169",
            "telephone_number": "541-683-3746",
            "fax_number": "541-683-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "STONEBURNER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "541-683-3746"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OR",
            "license": "051837-85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willamette Spectacle Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eugene Dental Partners (Oakmont Family Dental)
• Eugene Electrolysis LLC
• Eugene Emergency Physicians PC
• Eugene Endodotics LLC
• Eugene Eye Care Associates, PC
• Eugene Eye Clinic, LLC
• Eugene Eyewear, P.C.
• Eugene Family Chiropractic
• Eugene Family Medicine Associates, LLC
• Eugene Foot and Ankle Center, LLC (Eugene Foot and Ankle Health Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.