The Eye Team, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2733ATI Issued in OR

Legal business name

THE EYE TEAM, PC

Practice address

2169 14TH Ave SE
Albany, OR 97322-8510

Phone

(541) 926-2061

Fax

(541) 926-4845

NPI assigned

Oct 20, 2016

Organization subpart

Yes

Parent organization

THE EYE TEAM, PCAs reported in NPPES

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

Authorized official

Name

Kandi Moller, OD

Title

President

Phone

(541) 926-2061

Specialties & licenses 1

Addresses

Other names 1

• The Eye Team Albany Doing business as

Part of

The Eye Team PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Eye Team, PC

  • Optometrist
  • Albany, OR
  • NPI 1659797025
  NPPES parent name

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1922559491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 8TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212053",
            "telephone_number": "541-926-2061",
            "fax_number": "541-926-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228510",
            "telephone_number": "541-926-2061",
            "fax_number": "541-926-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE TEAM, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EYE TEAM, PC",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "MOLLER",
        "authorized_official_first_name": "KANDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-926-2061",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2733ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Team Albany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Marie Thayer
• The Corvallis Clinic P C
• The Corvallis Clinic P C
• The Corvallis Clinic P C
• The Eye Team, PC
• Deborah Ann Thelen, QMHA
• Jeremy Boyd Theobald, PHARMD
• Therapeutic Associates Inc
• Christine Elizabeth Thom, REGISTERED NURSE
• Geoffrey Thoma, LPC

• Optometrist in Albany, OR
• Providers in Albany, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.