Provider Demographics
NPI:1457553976
Name:EUGENE EYE CARE ASSOCIATES, PC
Entity Type:Organization
Organization Name:EUGENE EYE CARE ASSOCIATES, PC
Other - Org Name:STEVEN OFNER, M.D.,P.C
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-687-1715
Mailing Address - Street 1:992 COUNTRY CLUB RD STE 101
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6023
Mailing Address - Country:US
Mailing Address - Phone:541-687-1715
Mailing Address - Fax:541-687-1690
Practice Address - Street 1:992 COUNTRY CLUB RD STE 101
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6023
Practice Address - Country:US
Practice Address - Phone:541-687-1715
Practice Address - Fax:541-687-1690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4026T152W00000X
ORMD16167207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OROOWFBWCMedicare PIN
OR1204460001Medicare NSC