Organization Active NPI

Sherwood Family Eye Health LLC

  • Clinic/Center
  • Sherwood, OR
National Provider Identifier
1013045152
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3152 ATI Issued in OR
Legal business name
SHERWOOD FAMILY EYE HEALTH LLC
Practice address
20407 SW Borchers Dr
Suite 202
Sherwood, OR 97140-8760
Phone
(503) 625-2727
Fax
(503) 625-2929
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Adina N Zapodeanu, O.D.NPI 1659307932
Title
Owner
Phone
(503) 625-2727

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
Clinic/Center 261Q00000X 3152 ATI OR Primary

Addresses

Primary practice location

20407 SW Borchers Dr
Suite 202
Sherwood, OR 97140-8760

Mailing address

20407 SW Borchers Dr
Suite 202
Sherwood, OR 97140-8760
Phone (503) 625-2727

Other identifiers 1

IdentifierTypeStateIssuer
241823MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070326000500 OR Part B Supplier - Clinic/Group Practice 8325142615 Receives reassigned benefits from 1 practitioner
Practice locations: Sherwood, OR; Beaverton, OR

National Provider Directory

National Provider Directory

Locations

20407 SW Borchers Dr
Ste 202
Sherwood, OR 97140
Phone (503) 625-2727

16814 SW Edy Rd
Ste 124
Sherwood, OR 97140
Phone (503) 625-2727

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1013045152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20407 SW BORCHERS DR",
            "address_2": "SUITE 202",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408760",
            "telephone_number": "503-625-2727",
            "fax_number": "503-625-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20407 SW BORCHERS DR",
            "address_2": "SUITE 202",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408760",
            "telephone_number": "503-625-2727",
            "fax_number": "503-625-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD FAMILY EYE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "ZAPODEANU",
        "authorized_official_first_name": "ADINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-625-2727",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "3152 ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241823",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

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

Verify at the official NPI Registry.