Active NPI
West Linn Vision Center Inc
- Optometrist
- West Linn, OR
National Provider Identifier
1043769227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WEST LINN VISION CENTER INC
- Practice address
- 2020 8TH Ave
Suite a
West Linn, OR 97068-4657 - Phone
- (503) 652-1479
- Fax
- (503) 303-5587
- NPI assigned
- Sep 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Michael Sheldon
- Title
- Owner
- Phone
- (541) 548-2488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OR | Primary |
Addresses
Primary practice location
2020 8TH Ave
Suite a
West Linn, OR 97068-4657
Mailing address
2020 8TH Ave
Suite a
West Linn, OR 97068-4657
Phone (503) 652-1479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9169 SW Burnham St
Tigard, OR 97223
Phone (503) 539-5115
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Tigard, OR
- NPI 1457973992
-
- Optometrist
- Cornelius, OR
- NPI 1164808077
-
- Optometrist
- Salem, OR
- NPI 1275647000
-
- Optometrist
- Clackamas, OR
- NPI 1902461361
-
- Optometrist
- Tigard, OR
- NPI 1699769380
-
- Optometrist
- Tigard, OR
- NPI 1740643337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1043769227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 8TH AVE",
"address_2": "SUITE A",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684657",
"telephone_number": "503-652-1479",
"fax_number": "503-303-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 8TH AVE",
"address_2": "SUITE A",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684657",
"telephone_number": "503-652-1479",
"fax_number": "503-303-5587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST LINN VISION CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-28",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A",
"authorized_official_last_name": "SHELDON",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-548-2488"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.