Active NPI
Northwest Optometric Clinics, Inc.
- Optometrist
- Tigard, OR
National Provider Identifier
1053439588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- NORTHWEST OPTOMETRIC CLINICS, INC.
- Practice address
- 7307 SW Beveland Rd
Suite 100
Tigard, OR 97223-8609 - Phone
- (503) 639-8844
- Fax
- (503) 639-1904
- NPI assigned
- Mar 26, 2007
- 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
- Dr. Eric S Freedle, OD
- Title
- Business Partner
- Phone
- (503) 693-8844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
7307 SW Beveland Rd
Suite 100
Tigard, OR 97223-8609
Mailing address
7307 SW Beveland Rd
Suite 100
Tigard, OR 97223-8609
Phone (503) 639-8844
Other names 1
- Tigard Optometric Clinic
National Provider Directory
National Provider DirectoryLocations
7307 SW Beveland Rd
Portland, OR 97223
7850 SW Barbur Blvd
Portland, OR 97219
Phone (503) 245-6484
9830 SW McKenzie St
Tigard, OR 97223
Phone (503) 639-8844
7307 SW Beveland Rd
Ste 100
Tigard, OR 97223
Phone (503) 639-8844
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Portland, OR
- NPI 1629176672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1053439588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7307 SW BEVELAND RD",
"address_2": "SUITE 100",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238609",
"telephone_number": "503-639-8844",
"fax_number": "503-639-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7307 SW BEVELAND RD",
"address_2": "SUITE 100",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238609",
"telephone_number": "503-639-8844",
"fax_number": "503-639-1904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST OPTOMETRIC CLINICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "FREEDLE",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BUSINESS PARTNER",
"authorized_official_telephone_number": "503-693-8844",
"authorized_official_name_prefix": "Dr.",
"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": [
{
"organization_name": "Tigard Optometric Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.