Organization Active NPI

Tabor Industries, Inc

  • Eyewear Supplier
  • Milwaukie, OR
National Provider Identifier
1114056306
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
15143 Issued in OR
Legal business name
TABOR INDUSTRIES, INC
Practice address
2236 SE Washington St
Suite D
Milwaukie, OR 97222-7696
Phone
(503) 659-3305
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Janet M Tabor
Title
President
Phone
(503) 636-9608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 15143 OR Primary

Addresses

Primary practice location

2236 SE Washington St
Suite D
Milwaukie, OR 97222-7696

Mailing address

27 S State St
Suite 240
Lake Oswego, OR 97034-3935
Phone (503) 636-9608

Other names 1

  • Milwaukie Optique Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeside Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27 S State St
Ste 240
Lake Oswego, OR 97034
Phone (503) 636-9608

2236 SE Washington St
Ste D
Milwaukie, OR 97222
Phone (503) 659-3305

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1114056306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S STATE ST",
            "address_2": "SUITE 240",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343935",
            "telephone_number": "503-636-9608",
            "fax_number": "503-636-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 SE WASHINGTON ST",
            "address_2": "SUITE D",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227696",
            "telephone_number": "503-659-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR INDUSTRIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-636-9608"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OR",
            "license": "15143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milwaukie Optique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.