Provider Type Icon

EDMUND GARY SERVAIS MD NPI 1477627735


NPI Information

NPI: 1477627735
Provider Name: EDMUND GARY SERVAIS, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
2450 12TH STREET SE
SALEM, OR
ZIP 97302
Phone: (503) 371-4350
Get Directions

Edmund Gary Servais, MD is an ophthalmology in Salem, OR. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Edmund Gary Servais, MD NPI is 1477627735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2450 12TH STREET SE
SALEM, OR
ZIP 97302
Phone: (503) 371-4350
Fax: (503) 371-1124

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/8/2007.


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
1207W00000XOphthalmology17998OREGONYes

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
1F51482MEDICARE UPIN
2R00WCQHHBMEDICARE ID-TYPE UNSPECIFIED
3055504MEDICAIDOREGON

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: 4/28/2024

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.