CUSTOM EYES
NPI 1750650131
Clinic/Center in Springfield, OR

Active since December 14, 2011
1871 2ND ST, SPRINGFIELD, OR 97477(541) 741-0122 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Custom Eyes NPPES

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

CUSTOM EYES (NPI 1750650131) is a healthcare organization registered as a clinic/center in Springfield, Oregon and active in the NPI registry since December 2011. The organization lists Pam Ebert, Owner, as its authorized official.

NPPES Registry Identity

NPI1750650131
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePAM EBERT OD LLC
Location Address1871 2ND STSpringfield, OR 97477-2121
Mailing Address1871 2nd StSpringfield, OR 97477-2121 · (541) 741-0122
Organization SubpartNo
Authorized OfficialPam EbertOwner · (541) 741-0122
Enumeration DateDecember 14, 2011
Last NPPES UpdateJune 29, 2015
NPI 1750650131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in OR · 3484AT
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1871 2ND ST, Springfield, OR 97477

Other Names 1

Doing Business AsCustom Eyes

Other Identifiers 1

OtherR174133OR · Ptan

Other Providers at the Same Location NPPES 4

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

Optometrist
1871 2ND ST
SPRINGFIELD, OR 97477
Optometrist
1871 2ND ST
SPRINGFIELD, OR 97477
Optometrist (Corneal and Contact Management)
1871 2ND ST
SPRINGFIELD, OR 97477
Optometrist
1871 2ND ST
SPRINGFIELD, OR 97477

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 Pam Ebert Od LLC's NPI number?

The NPI number for Pam Ebert Od LLC is 1750650131. It was assigned to this organization in the NPPES registry on December 14, 2011. The provider is doing business as Custom Eyes.

Where is Pam Ebert Od LLC located?

Pam Ebert Od LLC is located at 1871 2nd St, Springfield, OR 97477. The listed phone number is (541) 741-0122.

What is Pam Ebert Od LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pam Ebert Od LLC was last updated on June 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.