MARK BREEDEN OD, INC (NPI# 1801171582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801171582 |
| Entity Type | Organization |
| Organization Name | MARK BREEDEN OD, INC |
| Practice Address |
11500 Hannon Rd Eagle Point OR 97524-9598 |
| Practice Telephone | 5418263070 |
| Practice Fax Number | 5418263080 |
| Mailing Telephone | 5418263070 |
| Mailing Fax Number | 5418263080 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |
| Authorized Official Name | MARK ALBERT BREEDEN (OPTOMETRIST) |
| Authorized Official Telephone | 5418403168 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3410ATI | OR | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MARK BREEDEN OD, INC | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005 |
| Street Address |
11500 HANNON RD |
| City | EAGLE POINT |
| State | OR |
| Zip Code | 97524-9598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811196074 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2007-07-17 |
| 1730698473 | Andrew Watson | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524 | 2017-09-26 |
| 1336667559 | Kai Ng | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524 | 2017-09-08 |
| 1396107504 | Walmart | Community/Behavioral Health | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2016-03-26 |
| 1225406887 | Sarah Hashimee | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2015-09-11 |
| 1124421722 | Matthew Solomon | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2014-09-27 |
| 1679982987 | Erika Leigh Thompson | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2014-08-12 |
| 1760891733 | Melissa Jean Hobbs | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2014-08-04 |
| 1154739555 | David Zazhitskiy | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2014-07-29 |
| 1063747145 | Mark Albert Breeden | Optometrist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2009-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373021 | Jennifer Schmidt | Psychologist | 995 Stonewater Dr., Eagle Point, OR 97524 | 2020-07-09 |
| 1639682834 | Marianne Arasmith | Massage Therapist | 6443 Monte Vista Ct, Eagle Point, OR 97524 | 2017-11-09 |
| 1437566163 | Mandy Dawn Walden | Behavioral Analyst | 360 N. Deanjou Ave, Eagle Point, OR 97524 | 2014-07-15 |
| 1710313200 | Casey Joe Winkler | Behavioral Analyst | 587 Sherman Way, Eagle Point, OR 97524 | 2013-09-17 |
| 1871745901 | Keith Fusao Ogawa | Dentist | 217 W. Main St., Eagle Point, OR 97524 | 2008-10-21 |
| 1578729893 | Tina Louise Matthews | Massage Therapist | 151 West Linn Rd, F6, Eagle Point, OR 97524 | 2008-08-06 |
| 1588700819 | Greg Gonzalez Pediatrics | Clinic/Center | 275 Loto Street, Eagle Point, OR 97524 | 2007-01-30 |
| 1194876235 | Donald Kirk Wolf | Physical Therapist | 158 Main, Eagle Point, OR 97524 | 2007-01-16 |
| 1780759985 | Eagle Point Dental Group,p.c. | Dentist | 217 W Main Street, Eagle Point, OR 97524 | 2006-11-22 |
| 1831268515 | Carmen D Edwards-henry | Speech-Language Pathologist | 1020 Highlands Drive, Eagle Point, OR 97524 | 2006-11-07 |
| Find all providers in zip 97524 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205017019 | Eagle Point Eye Care, P.C. | Optometrist | 10546 Hwy 62, #4 Suite A, Eagle Point, OR 97524-9505 | 2007-11-20 |
| 1568660199 | James Franklin Adamek | Optometrist | 10546 Hwy 62 Bldg 4, Eagle Point, OR 97524-9435 | 2007-07-05 |
| 1063747145 | Mark Albert Breeden | Optometrist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2009-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080105 | Quest Mobile Vision | Optometrist | 1900 E Fulton St, Newberg, OR 97132-1806 | 2020-10-16 |
| 1376141754 | Aa Vision Corporation | Optometrist | 2474 Se Burnside Rd, Gresham, OR 97080-1247 | 2020-10-16 |
| 1578170387 | Zachary Willits | Optometrist | 8495 Crater Lake Hwy Bldg 212, White City, OR 97503-3011 | 2020-09-25 |
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1477175453 | Pacific Eye Group, PC | Optometrist | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005-1347 | 2020-05-12 |
| 1063034148 | Pacific Eye Group, PC | Optometrist | 10104 Sw Washington Square Rd Spc A02, Tigard, OR 97223-4457 | 2020-05-12 |
| 1457973992 | Tammy T Nguyen | Optometrist | 16801 Se Davidoff Way, Damascus, OR 97089-5801 | 2020-05-07 |
| 1629698642 | Prashna Mistry | Optometrist | College of Optometry, 2043 College Way, Forest Grove, OR 97116-1797 | 2020-04-20 |
| 1376162008 | Eyestrong, LLC | Optometrist | 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 | 2020-04-13 |
| 1740816768 | Allison Kuo | Optometrist | 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE POINT |
| Zip Code | 97524 |
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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.