OrganizationActive
Willamette Vision Center Inc
NPI 1053307413 · Optometrist · Salem, OR
Provider details
- NPI number
- 1053307413
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Mickey Vorpahl, Manager Secretary(503) 585-6700
- License
- 1666AT (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3400 State St
#g-770
Salem, OR 97301-5861
Phone: (503) 585-6700
Fax: (503) 585-3315
Street-level locationGet directions
Mailing address
3400 State St
Salem, OR 97301-5861
Other names (DBA / former)
- Doing business as
- Family Focus Vision Source
Registry dates
- Enumerated
- 2005-09-21
- Last updated
- 2011-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.