# OREGON RETINA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386962173
- **Authorized official:** JOHN H HAINES MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (541) 762-2763

## Contact information

- **Practice address:** 775 SW 9TH ST, SUITE A, NEWPORT, OR 97365-4895
- **Practice address phone:** (541) 762-2763
- **Mailing address:** 1550 OAK STREET, SUITE \#4, EUGENE, OR 97401-4895
- **Mailing address phone:** (541) 762-2763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 05/04/2010