Mt. Hood Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MT. HOOD VISION CENTER, LLC

Practice address

22640 SE Stark St
Gresham, OR 97030-2656

Phone

(503) 667-0441

Fax

(503) 666-6718

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mark George, OD

Title

President

Phone

(503) 667-0441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1053476143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22640 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-667-0441",
            "fax_number": "503-666-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22640 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-667-0441",
            "fax_number": "503-666-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. HOOD VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-667-0441",
        "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": []
}

• Mountainview MRI LLC
• Kathleen A. Mounts, LCSW
• Moving Boundaries, Inc
• Mt Hood Women'S Health PC
• Mt. Hood Adult Day Center LLC
• Mt. Hood Vision, Inc
• Mt. View Rehabilitation Services, Inc.
• MTH Clinic PC
• MTN. View Family Practice, PC
• Joanna E Mullett, MSPT

• Optometrist in Gresham, OR
• Providers in Gresham, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.