OrganizationActive
Waldport Eye Care LLC
NPI 1366633679 · Optometrist · Waldport, OR
Provider details
- NPI number
- 1366633679
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kevin Blair, Member(541) 563-4100
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
525 Nw Willow
Waldport, OR 97394
Phone: (541) 563-4100
Fax: (541) 563-4468
Street-level locationGet directions
Mailing address
Po Box 888
Waldport, OR 97394-0888
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2008-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.