# DESCHUTES EYE CLINIC PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Eye Surgery Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528050523
- **Authorized official:** DR. OLI I TRAUSTASON M.D. (PRESIDENT)
- **Authorized official phone:** (541) 548-7170

## Contact information

- **Practice address:** 813 SW HIGHLAND AVE, REDMOND, OR 97756-3123
- **Practice address phone:** (541) 548-7170
- **Practice address fax:** (541) 548-3842
- **Mailing address:** 813 SW HIGHLAND AVE, REDMOND, OR 97756-3123
- **Mailing address phone:** (541) 548-7170
- **Mailing address fax:** (541) 548-3842

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 12/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 053857000 | REGENCE BCBS | OR |
| 01 | — | 38080A | CLEAR CHOICE | OR |
| 01 | — | CJ8770 | RAILROAD MEDICARE | OR |