Wilsonville Vision Center PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2750 Issued in OR

Legal business name

WILSONVILLE VISION CENTER PC

Practice address

29890 SW Town Center Loop W
Ste E
Wilsonville, OR 97070-9494

Phone

(503) 682-3234

Fax

(503) 682-0414

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

J. Richard Christiansen

Title

Owner

Phone

(503) 682-3234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Richard Christiansen, OD

  • Optometrist
  • Wilsonville, OR
  • NPI 1063440832
  Medicare reassignment NPD

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1073785671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29890 SW TOWN CENTER LOOP W STE E",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709494",
            "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": "970709494",
            "telephone_number": "503-682-3234",
            "fax_number": "503-682-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSONVILLE VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "J. RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-682-3234"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilsonville Dental Group
• Wilsonville Dental Group PC
• Wilsonville Healthcare LLC
• Wilsonville Natural Medicine, LLC
• Wilsonville Smiles PC
• Windfield Village
• Jeanene Teresa Wold, LMT
• Tezeta H Workie, COTA
• Katelyn Beck Wright, RPH
• Carole E Yazaji, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.