Active NPI
Pamela S. Fraser, OD
- Optometrist
- Hillsboro, OR
National Provider Identifier
1053518027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3217ATI
- Practice address
- 1075 SE Baseline St
Suite J
Hillsboro, OR 97123-4394 - Phone
- (503) 693-7356
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3217ATI | OR | Primary |
Addresses
Primary practice location
1075 SE Baseline St
Suite J
Hillsboro, OR 97123-4394
Mailing address
877 NE 25TH Ave
Hillsboro, OR 97124-5975
Phone (503) 648-5236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071003000814 | OR | Practitioner - Optometry | 3678668712 | Practice locations: Hillsboro, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
877 NE 25TH Ave
Hillsboro, OR 97124-5975
Phone (503) 648-5236
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3217ATI | OR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1053518027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 NE 25TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245975",
"telephone_number": "503-648-5236",
"fax_number": "503-640-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 SE BASELINE ST",
"address_2": "SUITE J",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234394",
"telephone_number": "503-693-7356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "PAMELA",
"middle_name": "S.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3217ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.