Waldport Eye Care Llc

LBN: Waldport Eye Care Llc
Waldport Eye Care Llc is an health care organization with primary practice located at 525 Nw Willow , Waldport OR 97394. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Waldport Eye Care Llc can be contacted via phone (541) 563-4100, or through Blair, Kevin Dean via phone (541) 563-4100.

Contact Information

Primary practice address
525 Nw Willow Waldport OR 97394
Phone: (541) 563-4100
Fax: (541) 563-4468
Website:
Map and Directions
Authorized official contact:
Name: Blair, Kevin Dean Doctor of Optometry (OD)
Phone: (541) 563-4100

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1366633679
LBN Legal business name Waldport Eye Care Llc
DBA Doing business as
Authorized official Blair, Kevin Dean Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Mar 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366633679 NPPES
Oregon MEDICAID 299057

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