NPIMap

Organization Active NPI

Eye Care Physicians & Surgeons, Inc.

  • Ophthalmology Physician
  • Salem, OR
National Provider Identifier
1992830186
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Mr. Russell B Warner, MDNPI 1841325008
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

5750 Inland Shores Way N
Keizer, OR 97303
Phone (503) 585-2022

1309 Liberty St SE
Salem, OR 97302
Phone (503) 585-2022

590 Glatt Cir
Woodburn, OR 97071
Phone (503) 982-3937

Practitioners & affiliated clinicians

Practitioners 11

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": "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": [],
    "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.

Verify at the official NPI Registry.