NPIMap

Organization Active NPI

On Sight Optical, Inc.

  • Optometrist
  • Portland, OR
National Provider Identifier
1003972225
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ON SIGHT OPTICAL, INC.
Practice address
4542 NE Martin Luther King Jr Blvd
Portland, OR 97211-3346
Phone
(503) 228-2154
Fax
(503) 228-4694
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rhonda Marie NienburgNPI 1306092416
Title
President
Phone
(503) 228-2154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4542 NE Martin Luther King Jr Blvd
Portland, OR 97211-3346

Mailing address

4542 NE Martin Luther King Jr Blvd
Portland, OR 97211-3346
Phone (503) 228-2154

Other identifiers 2

IdentifierTypeStateIssuer
TIN CONFIDENTIALOtherORCARE OREGON
278183MedicaidOR

Other names 1

  • Hendrix & McGuire Doing business as

National Provider Directory

National Provider Directory

Locations

925 SW Taylor St
Portland, OR 97205
Phone (503) 228-2154

4542 NE Martin Luther King Jr Blvd
Portland, OR 97211
Phone (503) 280-2020

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1003972225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113346",
            "telephone_number": "503-228-2154",
            "fax_number": "503-228-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113346",
            "telephone_number": "503-228-2154",
            "fax_number": "503-228-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SIGHT OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "NIENBURG",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-228-2154"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE OREGON",
            "identifier": "TIN CONFIDENTIAL",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278183",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendrix & McGuire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.