# OREGON EYE SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Sight Shop
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487721023
- **Authorized official:** DEVIN M. GATTEY MD (OPHTHALMOLOGIST, COMPANY PRESIDENT)
- **Authorized official phone:** (503) 244-8601

## Contact information

- **Practice address:** 6420 S MACADAM AVE STE 160, PORTLAND, OR 97239-3517
- **Practice address phone:** (503) 244-8601
- **Practice address fax:** (503) 244-3013
- **Mailing address:** 6420 S MACADAM AVE STE 160, PORTLAND, OR 97239-3517
- **Mailing address phone:** (503) 244-8601
- **Mailing address fax:** (503) 244-3013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 07/07/2020

## 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 | — |