# OREGON RETINA, LLP

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

## Provider details

- **NPI number:** 1467717405
- **Authorized official:** DR. ALBERT EDWARDS MD, PHD (PHYSICIAN/OWNER)
- **Authorized official phone:** (541) 762-2763

## Contact information

- **Practice address:** 775 SW 9TH ST STE A, NEWPORT, OR 97365-4882
- **Practice address phone:** (541) 762-2763
- **Practice address fax:** (541) 434-0912
- **Mailing address:** 1550 OAK ST STE 4, EUGENE, OR 97401-7701
- **Mailing address phone:** (541) 762-2763
- **Mailing address fax:** (541) 434-0912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD20042 | OR | Yes |

## Other

- **Enumeration date:** 07/05/2012
- **Last updated:** 07/05/2012