Eye Health Eastside Surgery Center
LBN: Eye Health Eastside Surgery Center
Eye Health Eastside Surgery Center is an health care organization with primary practice located at 12050 Se Stevens Rd Ste 400 , Portland OR 97086-7667. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Ophthalmologic Surgery. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Eye Health Eastside Surgery Center can be contacted via phone (971) 206-6100, or through Williams, Brett via phone (503) 344-5101.
Contact Information
Primary practice address
12050 Se Stevens Rd Ste 400
Portland OR 97086-7667
Phone: (971) 206-6100
Fax: (971) 206-6103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 07-1553 | Oregon |
| Ambulatory Health Care Facilities / Ophthalmologic Surgery | 261QS0132X | 07-1553 | Oregon |
Profile Details
| NPI number | 1750362869 |
|---|---|
| LBN Legal business name | Eye Health Eastside Surgery Center |
| DBA Doing business as | |
| Authorized official | Williams, Brett |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Apr 5th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750362869 | NPPES |
| Oregon | MEDICAID | 275034 |
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