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SALEM OR OPHTHALMOLOGY ASC LLC NPI 1811962103


NPI Information

NPI: 1811962103
Provider Name: SALEM OR OPHTHALMOLOGY ASC LLC

Doing Business As: SALEM LASER & SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1330 COMMERCIAL ST SE
SALEM, OR
ZIP 97302
Phone: (503) 763-1973
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SALEM OR OPHTHALMOLOGY ASC LLC is an ambulatory surgical clinic center in Salem, OR. SALEM OR OPHTHALMOLOGY ASC LLC NPI is 1811962103. The provider is registered as an organization entity type.
The provider Is Doing Business As Salem Laser & Surgery Center.

The provider's business location address is:

1330 COMMERCIAL ST SE
SALEM, OR
ZIP 97302-206
Phone: (503) 763-1973
Fax: (503) 763-8886

The provider's authorized official is Katherine Judkins .
The authorized official title is Vice President and has the following contact phone number (615) 665-1283.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 4/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical07-1574OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1005857MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.