McMinnville Eye Clinic PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MCMINNVILLE EYE CLINIC PC

Practice address

2445 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862

Phone

(503) 472-4688

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary Ryan Berger, MDNPI 1699812966

Title

Physician Owner

Phone

(503) 472-4688

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: mcminnvilleeyeclinc@direct.mcminnvilleeyeclinic.nextgenshare.com

Practitioners 9

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

• Gary Ryan Berger, MD

  • Ophthalmology Physician
  • McMinnville, OR
  • NPI 1699812966
  Medicare reassignment Care Compare group NPD Authorized official
• Cole N Gross, MD

  • Ophthalmology Physician
  • McMinnville, OR
  • NPI 1720511199
  Medicare reassignment Care Compare group NPD
• David JC Hayes, MD

  • Ophthalmology Physician
  • McMinnville, OR
  • NPI 1487673422
  Medicare reassignment Care Compare group NPD
• Steven Maxfield, MD

  • Ophthalmology Physician
  • McMinnville, OR
  • NPI 1558700658
  Medicare reassignment Care Compare group NPD
• Amy Rae Van Heel, OD

  • Optometrist
  • McMinnville, OR
  • NPI 1598128019
  Medicare reassignment Care Compare group NPD
• Laura Christine Burke, M.D.

  • Ophthalmology Physician
  • McMinnville, OR
  • NPI 1831448836
  Medicare reassignment NPD
• Nicholas Peter Grinich

  • Ophthalmology Physician
  • McMinnville, OR
  • NPI 1033122627
  Medicare reassignment NPD
• Robert D Forbes, OD

  • Optometrist
  • Reno, NV
  • NPI 1578665253

  OR

  Medicare reassignment NPD
• James M Kim, M.D.

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1144203043
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1992819445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SE NORTON LN STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288479",
            "telephone_number": "503-472-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288862",
            "telephone_number": "503-472-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4079 NW Logan Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973675080",
            "country_code": "US",
            "telephone_number": "503-472-4688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCMINNVILLE EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "503-472-4688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227638",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcminnvilleeyeclinc@direct.mcminnvilleeyeclinic.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "McMinnville Eye Clinic Share",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 SE Norton Ln Ste A",
            "city": "McMinnville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971288479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelia Christine McMillin, PA-C
• McMinnville Chiropractic Clinic
• McMinnville Chiropractic Clinic LLC
• McMinnville Dental Group
• McMinnville Ear Nose & Throat
• McMinnville Fire District
• McMinnville Foot & Ankle Associates LLC
• McMinnville Foot and Ankle Specialists, P.C.
• McMinnville Free Clinic
• McMinnville Healing Massage

• Ophthalmology Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.