DARRELL E GENSTLER MD PC (NPI# 1700982006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700982006 |
Entity Type | Organization |
Organization Name | DARRELL E GENSTLER MD PC |
Other Organization Name | THE EYEWEAR PAVILION |
Practice Address |
2700 14th Ave Se Albany OR 97322 |
Practice Telephone | 5419281667 |
Practice Fax Number | 5419281817 |
Mailing Telephone | 5419281667 |
Mailing Fax Number | 5419281817 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DARRELL GENSTLER (OWNER) |
Authorized Official Telephone | 5419281667 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Other Name | Type Code |
---|---|
The EyeWear Pavilion | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124125596 | Darrell E Genstler Md PC | Optometrist | 2700 14th Ave Se, Albany, OR 97322 | 2006-09-20 |
Street Address |
2700 14TH AVE SE |
City | ALBANY |
State | OR |
Zip Code | 97322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194794156 | Dante A Copollone | Nurse Anesthetist, Certified Registered | 2700 14th Ave Se, Albany, OR 97322 | 2006-03-14 |
1053678979 | Genstler Hearing Center LLC | Hearing Aid Equipment | 2700 14th Ave Se, Albany, OR 97322-6956 | 2012-04-16 |
1285960112 | Richard Floyd Davis | Hearing Instrument Specialist | 2700 14th Ave Se, Albany, OR 97322-6956 | 2009-10-28 |
1124125596 | Darrell E Genstler Md PC | Optometrist | 2700 14th Ave Se, Albany, OR 97322 | 2006-09-20 |
1497851893 | Chiniko LLC | Clinic/Center | 2700 14th Ave Se, Albany, OR 97322 | 2006-09-15 |
1063523751 | Darrell E Genstler | Ophthalmology | 2700 14th Ave Se, Albany, OR 97322 | 2006-08-31 |
1043226178 | Kent Douglas Reynolds | Optometrist | 2700 14th Ave Se, Albany, OR 97322-6956 | 2006-07-31 |
1972572816 | Mid-valley Anesthesia Inc | Nurse Anesthetist, Certified Registered | 2700 14th Ave Se, Albany, OR 97322 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
Find all providers in zip 97322 |
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 |
---|---|---|---|---|
1528301173 | Treondaus Garnett Morman | Eyewear Supplier (Equipment, not the service) | 1135 Santiam Hwy Se, Albany, OR 97321-3156 | 2013-04-02 |
1336446590 | 2 Chaudhrys, LLC | Eyewear Supplier (Equipment, not the service) | 155 Wolf Rd, Albany, NY 12205-1159 | 2011-02-23 |
1487821435 | V: Optical Laboratory, Inc. | Eyewear Supplier (Equipment, not the service) | 2234 Palmyra Rd, Albany, GA 31701-1322 | 2008-05-09 |
1316097512 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 449 Colonie Ctr, Albany, NY 12205 | 2007-01-11 |
1033269238 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1 Crossgates Mall Rd # L104, Albany, NY 12203-5368 | 2007-01-11 |
1578611828 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2095 14th Ave Se, Heritage Mall, Albany, OR 97321-8507 | 2007-01-05 |
1386700524 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1425 Central Ave, Colonie Ctr, Albany, NY 12205-2702 | 2006-12-30 |
1679664122 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2169 14th Ave Se, Albany, OR 97321-8510 | 2006-09-28 |
1194736256 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 120 Washington Ave, Albany, NY 12203 | 2006-08-11 |
1619998515 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2601 Dawson Road, Albany, GA 31707 | 2006-07-23 |
Find all providers in ALBANY |
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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.