OREGON RETINA SPECIALISTS, LLC (NPI# 1285812123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285812123 |
| Entity Type | Organization |
| Organization Name | OREGON RETINA SPECIALISTS, LLC |
| Other Organization Name | OREGON RETINA CENTER |
| Practice Address |
1518 E Barnett Rd Medford OR 97504-8281 |
| Practice Telephone | 5417702020 |
| Practice Fax Number | 5412002599 |
| Mailing Telephone | 5417702020 |
| Mailing Fax Number | 5412002599 |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | YUJEN WANG (MEMBER) |
| Authorized Official Telephone | 5417702020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
492778-90 | OR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oregon Retina Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2995 Nw Edenbower Blvd, Roseburg, OR 974716209 | 5417702020 | 5412002599 |
| 1867 Williams Hwy Ste 107, Grants Pass, OR 975275854 | 5419562020 | 5412002599 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON RETINA SPECIALISTS, LLC | 1518 E Barnett Rd, Medford, OR 97504 |
| Street Address |
1518 E BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265432991 | Eugene Y Chang | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2005-07-22 |
| 1093943086 | Joshua Noren Carlson | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2009-06-29 |
| 1770616237 | Shahrzad Sheibani | Internal Medicine | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2007-03-13 |
| 1427048693 | Yujen Wang | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851860621 | Retina & Vitreous Center of Southern Oregon, PC | Ophthalmology | 3516 Excel Dr, Medford, OR 97504-9750 | 2018-11-21 |
| 1093943086 | Joshua Noren Carlson | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2009-06-29 |
| 1427048693 | Yujen Wang | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477071926 | Nelsi Inc | Ophthalmology | 11786 Sw Barnes Rd Ste 270, Portland, OR 97225-5929 | 2017-09-05 |
| 1093722258 | Brandon Lujan | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2006-08-01 |
| 1265485890 | Andreas K Lauer | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2006-05-17 |
| 1659375244 | Timothy L Gard | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2005-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.