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
—
—
332H00000X
Eyewear Supplier
—
—
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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