EYE CENTER OF BROOKINGS, LLC (NPI# 1912010596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912010596 |
Entity Type | Organization |
Organization Name | EYE CENTER OF BROOKINGS, LLC |
Practice Address |
937 Chetco Ave Brookings OR 97415 |
Mailing Address |
Po Box 4005 Brookings OR 97415-0228 |
Practice Telephone | 5414696923 |
Practice Fax Number | 5414696769 |
Mailing Telephone | 5414696923 |
Mailing Fax Number | 5414696769 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2014-09-10 |
Authorized Official Name | DR. DOUGLAS JOHN WALKER (MEMBER) |
Authorized Official Telephone | 5414696923 |
Authorized Official Credential | OD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OR 2740 ATI | OR | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 208317 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | EYE CENTER OF BROOKINGS, LLC | 648 Chetco Avenue, Brookings, OR 97415 |
Street Address |
937 CHETCO AVE |
City | BROOKINGS |
State | OR |
Zip Code | 97415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033211230 | Matthew Scot Richardson | Optometrist | 937 Chetco Ave, Brookings, OR 97415 | 2006-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
Find all providers in zip 97415 |
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 |
---|---|---|---|---|
1730548975 | Wyatt Nash-keller Od Prof LLC | Optometrist | 960 22nd Ave S, Brookings, SD 57006-2830 | 2016-02-16 |
1811008493 | Ronald Dustin Bodman | Optometrist | 586 5th St, Suite 300, Brookings, OR 97415-9720 | 2006-08-31 |
1699887158 | Wayne Robert Paulson | Optometrist | 586 5th St Ste 300, Brookings, OR 97415-9720 | 2006-08-31 |
1174556344 | Clayton Paul Twitero | Optometrist | 2425 6th St, Brookings, SD 57006-1733 | 2006-07-09 |
1982673927 | Kristin J Gurholt | Optometrist | 937k Chetco Ave 4005, Brookings, OR 97415 | 2006-03-14 |
1922095306 | Kristine Gyving | Optometrist | 325 5th St, Brookings, OR 97415-9658 | 2005-09-30 |
1609861608 | Jason Jahn | Optometrist | 1208 22nd Ave S, Brookings, SD 57006-2804 | 2005-09-15 |
1902806375 | Douglas John Walker | Optometrist | 937 Chetco Ave Ste K 4005, Brookings, OR 97415 | 2005-07-28 |
1447818562 | Taylor Allen Kneip | Optometrist | 2311 Yorkshire Dr, Brookings, SD 57006-2446 | 2019-06-04 |
1124371992 | Wyatt Nash-keller | Optometrist | 1208 22nd Ave S, Brookings, SD 57006-2804 | 2012-10-18 |
Find all providers in BROOKINGS |
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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.