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Organization
OREGON EYE SPECIALISTS PC
Active
Organization
OREGON EYE SPECIALISTS PC
Active
Other names
The Sight Shop
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN M. GATTEY MD (OPHTHALMOLOGIST, COMPANY PRESIDENT)
(503) 244-8601
Entity
Organization
Contact information
Practice address
6420 S MACADAM AVE STE 160, PORTLAND, OR 97239-3517
(503) 244-8601
(503) 244-3013
Mailing address
6420 S MACADAM AVE STE 160, PORTLAND, OR 97239-3517
(503) 244-8601
(503) 244-3013
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02262-6
—
OR
05
—
02557-2
—
OR
05
—
04877-7
—
OR
05
—
06008-7
—
OR
05
—
06527-1
—
OR
05
—
07894-4
—
OR
05
—
14958-3
—
OR
05
—
21536-8
—
OR
05
—
22633-5
—
OR
05
—
22634-4
—
OR
05
—
22935-3
—
OR
05
—
23334-9
—
OR
05
—
26075-2
—
OR
05
—
27152-8
—
OR
05
—
27665-8
—
OR
05
—
28849-0
—
OR
01
—
CH568
RR MEDICARE PTAN
—
01
—
CS5592
RR MEDICARE PTAN
—
01
—
DA3276
RR MEDICARE PTAN
—
Enumeration date
11/29/2006
Last updated
07/07/2020
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