Individual provider Active NPI

Neal James Garhofer, OD

  • Optometrist
  • Warrenton, OR
National Provider Identifier
1164587754
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2199T Issued in OR
Practice address
695 S Highway 101
Warrenton, OR 97146-9319
Phone
(503) 861-9829
Fax
(503) 861-9830
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2199T OR Primary

Addresses

Primary practice location

695 S Highway 101
Warrenton, OR 97146-9319

Mailing address

695 S Highway 101
Warrenton, OR 97146-9319
Phone (150) 371-7247

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000825 OR Practitioner - Optometry 8022915263 Practice locations: Warrenton, OR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

695 S Hwy 101
Warrenton, OR 97146-9319
Phone (503) 861-9829

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2199TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Fred Meyer Stores Inc PastSince Jan 21, 2022 Accepting new patients
Fred Meyer Stores Inc. PastSince Jan 21, 2022 Accepting new patients

Organizations & group practices 4

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1164587754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S HIGHWAY 101",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469319",
            "telephone_number": "150-371-7247",
            "fax_number": "503-861-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S HIGHWAY 101",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469319",
            "telephone_number": "503-861-9829",
            "fax_number": "503-861-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARHOFER",
        "first_name": "NEAL",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2199T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, OR

Sources for this page

Verify at the official NPI Registry.