NPI 1073715157 · live from the CMS NPI Registry
Central Oregon Eyecare, PC
Optometrist in Redmond, OR. National Provider Identifier 1073715157, active.
NPI record
| NPI | 1073715157 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1000 Sw Indian Ave, Redmond, OR 97756 |
| Practice phone | 541-548-2488 |
| Enumerated | June 1, 2007 |
| Last updated | September 29, 2025 |
| Authorized official | Daniel Vidlak, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2823ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.