Active NPI
Eye Care Physicians & Surgeons, Inc.
- Ophthalmology Physician
- Salem, OR
National Provider Identifier
1992830186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CARE PHYSICIANS & SURGEONS, INC.
- Practice address
- 1309 Liberty St SE
Salem, OR 97302-4245 - Phone
- (503) 585-2022
- Fax
- (503) 378-0797
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Russell B Warner, MD
- Title
- Owner
- Phone
- (503) 585-2022
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1309 Liberty St SE
Salem, OR 97302-4245
Mailing address
1309 Liberty St SE
Salem, OR 97302-4245
Phone (503) 585-2022
Other practice location 1
5750 Inland Shores Way N
Keizer, OR 97303-3800
Phone (503) 585-2022
Other practice location 2
2001 Commercial St SE
Salem, OR 97302-5207
Phone (503) 585-2022
Other practice location 3
1285 Liberty St SE
Salem, OR 97302-4243
Phone (503) 585-2022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0000WCGFN | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040422000121 | OR | Part B Supplier - Clinic/Group Practice | 6103812557 |
Receives reassigned benefits from 11 practitioners Practice locations: Keizer, OR; Salem, OR |
| O20100930027185 | OR | DME Supplier - Physician - Ophthalmology | 6103812557 | Practice locations: Salem, OR |
National Provider Directory
National Provider DirectoryLocations
5750 Inland Shores Way N
Keizer, OR 97303
Phone (503) 585-2022
1703 Pacific Ave S
Long Beach, WA 98631
Phone (360) 642-3214
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Glaucoma Specialist (Ophthalmology) Physician
- Salem, OR
- NPI 1205091022
Ophthalmology, OR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1992830186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024245",
"telephone_number": "503-585-2022",
"fax_number": "503-378-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024245",
"telephone_number": "503-585-2022",
"fax_number": "503-378-0797"
}
],
"practiceLocations": [
{
"address_1": "5750 Inland Shores Way N",
"address_purpose": "LOCATION",
"city": "Keizer",
"state": "OR",
"postal_code": "973033800",
"country_code": "US",
"telephone_number": "503-585-2022",
"fax_number": "503-378-0797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 Commercial St SE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973025207",
"country_code": "US",
"telephone_number": "503-585-2022",
"fax_number": "503-378-0797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1285 Liberty St SE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973024243",
"country_code": "US",
"telephone_number": "503-585-2022",
"fax_number": "503-378-0797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EYE CARE PHYSICIANS & SURGEONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-585-2022",
"authorized_official_name_prefix": "Mr.",
"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": "R0000WCGFN",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.