A Sight for Sport Eyes

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

A SIGHT FOR SPORT EYES

Practice address

1553 11TH St
West Linn, OR 97068-4636

Phone

(503) 699-4160

Fax

(888) 240-6551

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Shannen Knight, ABONPI 1245669415

Title

Optician/Owner

Phone

(503) 699-4160

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Shannen Knight

  • Optician
  • West Linn, OR
  • NPI 1245669415
  NPD Authorized official

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1093397671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 11TH ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684636",
            "telephone_number": "503-699-4160",
            "fax_number": "888-240-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 11TH ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684636",
            "telephone_number": "503-699-4160",
            "fax_number": "888-240-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SIGHT FOR SPORT EYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "SHANNEN",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "503-699-4160",
        "authorized_official_credential": "ABO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@sporteyes.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1553 11th St",
            "city": "West Linn",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970684636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in West Linn, OR
• Optician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.