Active NPI
Andrew Jeremy Aker, O.D.
- Optometrist
- Portland, OR
National Provider Identifier
1154520906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3226ATI
- Practice address
- 1962 SW Broadway
Portland, OR 97201-6710 - Phone
- (503) 227-0632
- Fax
- (503) 227-0661
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 3226ATI | OR | Primary |
Addresses
Primary practice location
1962 SW Broadway
Portland, OR 97201-6710
Mailing address
11525 SW Bel Aire LN
Beaverton, OR 97008-5911
Phone (503) 737-9208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadway Vision World | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Portland, OR
- NPI 1295915700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1154520906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11525 SW BEL AIRE LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085911",
"telephone_number": "503-737-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1962 SW BROADWAY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972016710",
"telephone_number": "503-227-0632",
"fax_number": "503-227-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKER",
"first_name": "ANDREW",
"middle_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3226ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.