Individual provider Active NPI

James Richard Christiansen, OD

  • Optometrist
  • Wilsonville, OR
National Provider Identifier
1063440832
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2750AT Issued in OR
Practice address
29890 SW Town Center Loop W
Ste E
Wilsonville, OR 97070-9461
Phone
(503) 682-3234
Fax
(503) 682-0414
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2750AT OR Primary

Addresses

Primary practice location

29890 SW Town Center Loop W
Ste E
Wilsonville, OR 97070-9461

Mailing address

29890 SW Town Center Loop W
Ste E
Wilsonville, OR 97070-9461
Phone (503) 682-3234

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430000628 OR Practitioner - Optometry 9436144581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29890 SW Town Ctr Loop W
Suite E
Wilsonville, OR 97070-9494
Phone (503) 682-3234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2750ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilsonville Vision Center PC Optometrist CurrentSince Feb 1, 2004 Accepting new patients
Scott L. Nehring, O.D., P.C. Optometrist PastSince Jan 1, 2005 Accepting new patients

Locations

29890 SW Town Center Loop W
Ste E
Wilsonville, OR 97070
Phone (503) 682-3234

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1063440832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29890 SW TOWN CENTER LOOP W",
            "address_2": "STE E",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709461",
            "telephone_number": "503-682-3234",
            "fax_number": "503-682-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29890 SW TOWN CENTER LOOP W",
            "address_2": "STE E",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709461",
            "telephone_number": "503-682-3234",
            "fax_number": "503-682-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2750AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

Verify at the official NPI Registry.