Organization Active NPI

Northwest Optometric Clinics, Inc.

  • Optometrist
  • Tigard, OR
National Provider Identifier
1053439588
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Nov 5, 2007

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.