Active NPI
Lance Gene Anderson, OD
- Optometrist
- Hillsboro, OR
National Provider Identifier
1083726855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2298 ATI
- Practice address
- 2037 NW 185TH Ave
Hillsboro, OR 97124-7073 - Phone
- (503) 690-9200
- Fax
- (503) 690-6189
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 | 2298 ATI | OR | Primary |
Addresses
Primary practice location
2037 NW 185TH Ave
Hillsboro, OR 97124-7073
Mailing address
2037 NW 185TH Ave
Hillsboro, OR 97124-7073
Phone (503) 690-9200
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2298 ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Accent Inc. | Optometrist | Current | Accepting new patients |
| Vision Accent Inc. | Optometrist | Current | Accepting new patients |
Locations
1981 NW 185th Ave
Hillsboro, OR 97124
Phone (503) 690-9200
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1083726855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2037 NW 185TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247073",
"telephone_number": "503-690-9200",
"fax_number": "503-690-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2037 NW 185TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247073",
"telephone_number": "503-690-9200",
"fax_number": "503-690-6189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LANCE",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "2298 ATI",
"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 Dec 29, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.