NPI 1316367303 · live from the CMS NPI Registry
Capitol Eye Care, LLC
Optometrist in Salem, OR. National Provider Identifier 1316367303, active.
NPI record
| NPI | 1316367303 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1960 Commercial St Se, Salem, OR 97302 |
| Practice phone | 503-363-9011 |
| Enumerated | April 17, 2014 |
| Last updated | January 27, 2020 |
| Authorized official | Christopher Berry, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — |
| Optometrist primary | 152W00000X | 2928ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.