Individual provider Active NPI

Prescott Briggs McArthur, OD

  • Optometrist
  • Gresham, OR
National Provider Identifier
1013771997
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4713AT Issued in OR
Practice address
125 NW Miller Ave
Gresham, OR 97030-7225
Phone
(503) 665-3813
NPI assigned
Feb 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4713AT OR Primary

Addresses

Primary practice location

125 NW Miller Ave
Gresham, OR 97030-7225

Mailing address

125 NW Miller Ave
Gresham, OR 97030-7225
Phone (503) 665-3813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313000459 OR Practitioner - Optometry 7911343991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gresham Vision Center Inc 3 clinicians

Practice addresses (Care Compare)

39400 Pioneer Blvd
Suite 3
Sandy, OR 97055-8000
Phone (503) 668-4313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4713ATORMDOptometrist
4713ORMDPhysical Therapist

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Gresham Vision Center, Inc Optometrist CurrentSince Feb 18, 2024 Accepting new patients
Gresham Vision Center, Inc Optometrist CurrentSince Apr 1, 2024 Accepting new patients

Locations

125 NW Miller Ave
Gresham, OR 97030
Phone (503) 665-3813

39400 Pioneer Blvd
Ste 3
Sandy, OR 97055
Phone (503) 668-4313

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1013771997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NW MILLER AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307225",
            "telephone_number": "503-665-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NW MILLER AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307225",
            "telephone_number": "503-665-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCARTHUR",
        "first_name": "PRESCOTT",
        "middle_name": "BRIGGS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4713AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.