Organization Active NPI

Vision Performance Center, LLC

  • Vision Therapy Optometrist
  • Eugene, OR
National Provider Identifier
1952865974
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
Legal business name
VISION PERFORMANCE CENTER, LLC
Practice address
4765 Village Plaza Loop Ste 200
Eugene, OR 97401-6676
Phone
(541) 342-3100
NPI assigned
Jan 23, 2019
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
David A Hackett, ODNPI 1922413723
Title
Member
Phone
(541) 342-3100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X Primary

Addresses

Primary practice location

4765 Village Plaza Loop Ste 200
Eugene, OR 97401-6676

Mailing address

4765 Village Plaza Loop Ste 200
Eugene, OR 97401-6676
Phone (541) 342-3100

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

National Provider Directory

National Provider Directory

Locations

4765 Village Plaza Loop
Ste 200
Eugene, OR 97401
Phone (541) 342-3100

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": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1952865974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 VILLAGE PLAZA LOOP STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016676",
            "telephone_number": "541-342-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 VILLAGE PLAZA LOOP STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016676",
            "telephone_number": "541-342-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PERFORMANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-342-3100",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 23, 2019; 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.