Medical Center Eye Clinic LLC
NPI 1255859799ActiveOrganization· Ophthalmology· Salem, OR
Ophthalmology in Salem, Oregon, registered in NPPES in September 2017. The authorized official on file is Shellea Montgomery, Practice Administrator. Enrolled in Medicare as dme supplier - physician - ophthalmology and part b supplier - clinic/group practice.
Overview
| NPI | 1255859799 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2017 |
| Last updated in NPPES | Jul 15, 2026 |
| Certified by provider | Jul 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Ophthalmology (OR); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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