EYE HEALTH EASTSIDE SURGERY CENTER; NPI #1750362869

Contact Information

EYE HEALTH EASTSIDE SURGERY CENTER

12050 SE STEVENS RD STE 400
PORTLAND, OR 97086-7667

Phone: 971-206-6100
Fax: 971-206-6103
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center
Ophthalmologic Surgery	261QS0132X

Indicates primary specialty

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NPI Profile & details for EYE HEALTH EASTSIDE SURGERY CENTER

NPI # 1750362869

LBN Legal business name EYE HEALTH EASTSIDE SURGERY CENTER

Authorized official BRETT WILLIAMS - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/07/2005

Last updated 04/05/2022 - About 4 years ago

Identifiers

OR	License #	07-1553
OR	Medicaid	275034

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EYE HEALTH EASTSIDE SURGERY CENTER

Contact Information

Specialty

Ambulatory Surgical

Ophthalmologic Surgery

NPI Profile & details for EYE HEALTH EASTSIDE SURGERY CENTER

Reviews for EYE HEALTH EASTSIDE SURGERY CENTER