EYELAND FAMILY OPTICAL LLC NPI 1790922557

NPI Information

NPI: 1790922557
Provider Name: EYELAND FAMILY OPTICAL LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
281 W OREGON AVE
CRESWELL, OR
ZIP 97426
Phone: (541) 895-3937
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EYELAND FAMILY OPTICAL LLC is a primary care clinic center in Creswell, OR. EYELAND FAMILY OPTICAL LLC NPI is 1790922557. The provider is registered as an organization entity type.

The provider's business location address is:

281 W OREGON AVE
CRESWELL, OR
ZIP 97426-605
Phone: (541) 895-3937
Fax: (541) 895-3951

The provider's authorized official is Cat L Merritt .
The authorized official title is Optometrist and has the following contact phone number (541) 895-3937.

The enumeration date for this NPI number is 1/15/2009 and was last updated on 12/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	2718ATI	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6394450001	MEDICARE NSC	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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