# PERSONALEYES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willow Creek Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689189151
- **Authorized official:** TODD SHELDON OD, MBA, FAAO (PRESIDENT)
- **Authorized official phone:** (541) 548-2488

## Contact information

- **Practice address:** 14740 NW CORNELL RD, PORTLAND, OR 97229-5496
- **Practice address phone:** (503) 645-8002
- **Practice address fax:** (503) 645-9455
- **Mailing address:** 1000 SW INDIAN AVE, REDMOND, OR 97756-3039
- **Mailing address phone:** (541) 548-2488
- **Mailing address fax:** (541) 548-5334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2823ATI | OR | Yes |

## Other

- **Enumeration date:** 12/06/2017
- **Last updated:** 12/06/2017