Organization Active NPI

Eleanor Munoz LLC

Doing business as Modern Eyez

  • Optometrist
  • West Linn, OR
National Provider Identifier
1174140610
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ELEANOR MUNOZ LLC
Doing business as
Modern Eyez
Practice address
18750 Willamette Dr
West Linn, OR 97068-1700
Phone
(503) 697-8879
Fax
(503) 650-5357
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Dr. Eleanor Munoz, ODNPI 1306077417
Title
Owner
Phone
(971) 732-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

18750 Willamette Dr
West Linn, OR 97068-1700

Mailing address

7005 SW Algonkin St
Tualatin, OR 97062-9212

Other names 1

  • Modern Eyez Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210429001114 OR Part B Supplier - Clinic/Group Practice 5991114126 Receives reassigned benefits from 1 practitioner
Practice locations: West Linn, OR

National Provider Directory

National Provider Directory

Locations

18750 Willamette Dr
West Linn, OR 97068
Phone (503) 697-8879

18750 Willamette Dr
Ste C
West Linn, OR 97068
Phone (503) 697-8879

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1174140610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 SW ALGONKIN ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18750 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681700",
            "telephone_number": "503-697-8879",
            "fax_number": "503-650-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR MUNOZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-732-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Eyez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.