# CEA ACQUISITION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cascade Eye Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629308010
- **Authorized official:** F. MICHAEL CORNELL MD (SOLO MEMBER)
- **Authorized official phone:** (503) 652-0600

## Contact information

- **Practice address:** 10001 SE SUNNYSIDE RD, STE 100, CLACKAMAS, OR 97015-5746
- **Practice address phone:** (503) 562-0600
- **Practice address fax:** (503) 652-0601
- **Mailing address:** 10001 SE SUNNYSIDE RD, STE 100, CLACKAMAS, OR 97015-5746
- **Mailing address phone:** (503) 562-0600
- **Mailing address fax:** (503) 652-0601

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2010
- **Last updated:** 12/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1629188982 | INDIVIDUAL NPI | OR |