Spectrum Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SPECTRUM EYE CARE LLC

Practice address

13180 SE 169TH Ave Ste 104
Happy Valley, OR 97086-8727

Phone

(503) 698-2375

Fax

(503) 251-3761

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dung K Nguyen, OD

Title

Owner

Phone

(503) 698-2375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaina Hai Chan

  • Optometrist
  • Happy Valley, OR
  • NPI 1578185005
  Medicare reassignment Care Compare group NPD
• April Chiu, OD, FAAO

  • Optometrist
  • Portland, OR
  • NPI 1891225736
  Medicare reassignment Care Compare group NPD
• Yume Kim Paige, OD

  • Optometrist
  • Happy Valley, OR
  • NPI 1770069650
  Medicare reassignment Care Compare group NPD
• Anne Elizabeth Berk, O.D.

  • Optometrist
  • Happy Valley, OR
  • NPI 1609920701
  Medicare reassignment NPD
• William Bert Berk Jr., O.D.

  • Optometrist
  • Happy Valley, OR
  • NPI 1275630808
  Medicare reassignment NPD
• Nancy Brock, O.D.

  • Optometrist
  • Happy Valley, OR
  • NPI 1447306360
  Medicare reassignment NPD
• Ayla Jade Himmelsbach, OD

  • Optometrist
  • Portland, OR
  • NPI 1003168337
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1043969579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13180 SE 169TH AVE STE 104",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868727",
            "telephone_number": "503-698-2375",
            "fax_number": "503-251-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 SE 169TH AVE STE 104",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868727",
            "telephone_number": "503-698-2375",
            "fax_number": "503-251-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-698-2375",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Smith
• Ceili Smythe, ND
• SNH Al TRS, Inc. (The Forum at Town Center)
• Somnus Anesthesia Northwest
• Somnus Anesthesia Services
• Chynna I Springer, LPC
• Peter Josef St George, DO
• Tanisha Stafford
• Geoffrey Scott Staton, PHYSICAL THERAPIST
• Breanna Steele

• Optometrist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.