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CENTENNIAL MEDICAL GROUP WEST, LLC
NPI 1245547744
Ophthalmology in Roseburg, OR

Active since September 03, 2010
2801 NW MERCY DR., STE. 340, ROSEBURG, OR 97471(541) 677-4319(541) 677-2294 Get Directions Write a Review

NPPES record last updated: March 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centennial Medical Group West, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL MEDICAL GROUP WEST, LLC (NPI 1245547744) is a healthcare organization registered as an ophthalmology in Roseburg, Oregon and active in the NPI registry since September 2010. The organization lists Douglas Klebe, Officer, as its authorized official.

NPPES Registry Identity

NPI1245547744
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCENTENNIAL MEDICAL GROUP WEST, LLC
Location Address2801 NW MERCY DR., STE. 340Roseburg, OR 97471
Mailing Address2801 Nw Mercy Dr., Ste. 340Roseburg, OR 97471 · (541) 677-4319 · Fax (541) 677-2294
Phone(541) 677-4319
Fax(541) 677-2294
Organization SubpartNo
Authorized OfficialDouglas KlebeOfficer · (541) 677-3650
Enumeration DateSeptember 3, 2010
Last NPPES UpdateMarch 7, 2017
✔ NPI 1245547744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2801 NW MERCY DR., Roseburg, OR 97471
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Other Identifiers 2

Medicare UPINR156684OR
Medicaid500626861OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Medical Group West, LLC's NPI number?

The NPI number for Centennial Medical Group West, LLC is 1245547744. It was assigned to this organization in the NPPES registry on September 3, 2010.

Where is Centennial Medical Group West, LLC located?

Centennial Medical Group West, LLC is located at 2801 NW Mercy Dr. Ste. 340, Roseburg, OR 97471. The listed phone number is (541) 677-4319.

What is Centennial Medical Group West, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

What insurance does Centennial Medical Group West, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Centennial Medical Group West, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Centennial Medical Group West, LLC was last updated on March 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.