WILLAMETTE VALLEY EYEWEAR (NPI# 1457578627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457578627 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE VALLEY EYEWEAR |
| Practice Address |
2001 Commercial St Se Salem OR 97302-5207 |
| Practice Telephone | 5033631500 |
| Practice Fax Number | 5035882028 |
| Mailing Telephone | 5033631500 |
| Mailing Fax Number | 5035882028 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOUG COX (MANAGER) |
| Authorized Official Telephone | 5033631500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WILLAMETTE VALLEY EYEWEAR | 2001 Commercial St Se, Salem, OR 97302 |
| Street Address |
2001 COMMERCIAL ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235325473 | Gordon A Miller Md PC | Clinic/Center | 2001 Commercial St Se, Salem, OR 97302-5207 | 2007-09-21 |
| 1689869422 | Gordon A Miller, Md | Clinic/Center | 2001 Commercial St Se, Salem, OR 97302-5207 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967135 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Rd, Salem, NH 03079-3324 | 2020-09-18 |
| 1437203627 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Road, Salem, NH 03079 | 2007-01-23 |
| 1871640318 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 823 Lancaster Dr Ne, Lancaster Mall, Salem, OR 97301-2929 | 2007-01-05 |
| 1306993480 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 77 Rockingham Park Blvd, The Mall At Rockingham Park, Salem, NH 03079-2964 | 2007-01-04 |
| 1467513457 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 99 Rockingham Park Blvd, Salem, NH 03079-2900 | 2006-12-13 |
| 1497844435 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 831 Lancaster Drive Ne, Salem, OR 97301 | 2006-10-11 |
| 1922019843 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 81 Rockingham Park Blvd, Salem, NH 03079 | 2006-08-10 |
| 1285677815 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 300-344 N. Broadway, Salem, NH 03079 | 2006-06-13 |
| 1790736023 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1230 Lancaster Dr Se, Salem, OR 97317-5800 | 2006-05-12 |
| 1760449474 | Empire Vision Center Inc | Eyewear Supplier (Equipment, not the service) | 346 South Broadway, Cambridge Eye Doctors, Salem, NH 03079-4304 | 2006-04-27 |
| Find all providers in SALEM | ||||
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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.