1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Ophthalmology
  6. NPI Profile

EDMUND GARY SERVAIS MD
NPI 1477627735
Ophthalmology in Salem, OR

Active since November 20, 2006
2450 12TH STREET SE, SALEM, OR 97302(503) 371-4350(503) 371-1124 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edmund Gary Servais Md NPPES

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

EDMUND GARY SERVAIS MD (NPI 1477627735) is an individual ophthalmology provider in Salem, Oregon, licensed in Oregon (17998) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1477627735
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameEDMUND GARY SERVAISCredential: MD
Location Address2450 12TH STREET SESalem, OR 97302
Mailing Address2450 12th Street SeSalem, OR 97302 · (503) 371-4350 · Fax (503) 371-1124
Phone(503) 371-4350
Fax(503) 371-1124
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477627735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OR · 17998
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.
2450 12TH STREET SE, Salem, OR 97302
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF51482
Medicare ID-Type UnspecifiedR00WCQHHB
Medicaid055504OR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW C WESTFALL MD
Ophthalmology
2450 12TH STREET SE
SALEM, OR 97302
Marion County (503) 371-4350
SAMUEL G FARMER MD
Ophthalmology
2450 12TH STREET SE
SALEM, OR 97302
Marion County (503) 371-4350

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 Edmund Servais's NPI number?

The NPI number for Edmund Servais is 1477627735. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Edmund Servais located?

Edmund Servais practices at 2450 12th Street SE, Salem, OR 97302. The listed phone number is (503) 371-4350.

What is Edmund Servais's specialty?

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

When was this NPI record last updated?

The NPPES record for Edmund Servais was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.