Organization Active NPI

John B Krebsbach

  • Optometrist
  • Hillsboro, OR
National Provider Identifier
1114194552
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOHN B KREBSBACH
Practice address
518 SE Oak St Ste 2020
Hillsboro, OR 97123-4896
Phone
(503) 648-2020
Fax
(503) 648-0868
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
John Bernard Krebsbach, OD
Title
Owner/OD
Phone
(503) 648-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

518 SE Oak St Ste 2020
Hillsboro, OR 97123-4896

Mailing address

518 SE Oak St Ste 2020
Hillsboro, OR 97123-4896
Phone (503) 648-2020

Other names 1

  • Family Vision Practice Doing business as

National Provider Directory

National Provider Directory

Locations

518 SE Oak St
Ste 2020
Hillsboro, OR 97123
Phone (503) 648-2020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1114194552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 SE OAK ST STE 2020",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234896",
            "telephone_number": "503-648-2020",
            "fax_number": "503-648-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 SE OAK ST STE 2020",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234896",
            "telephone_number": "503-648-2020",
            "fax_number": "503-648-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B KREBSBACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "KREBSBACH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "503-648-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2017; 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.