Individual provider Active NPI

Katelyn Powers, O.D.

  • Optometrist
  • Astoria, OR
National Provider Identifier
1194278382
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4049AT Issued in OR
Practice address
553 18TH St
Astoria, OR 97103-3505
Phone
(503) 325-4401
Fax
(503) 325-4449
NPI assigned
Jul 25, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4049AT OR Primary
Optometrist 152W00000X 60677583 WA

Addresses

Primary practice location

553 18TH St
Astoria, OR 97103-3505

Mailing address

819 S Holladay Dr
Seaside, OR 97138-6608
Phone (503) 325-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160901001506 OR Practitioner - Optometry 2264728104 Reassigns benefits to 2 organizations
I20160901001693 WA Practitioner - Optometry 2264728104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3600 N Interstate Ave
Portland, OR 97227-1106
Phone (800) 813-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Darren L Thorsen OD Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 18, 2022 Accepting new patients
Darren L Thorsen, OD Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 18, 2022 Accepting new patients

Locations

553 18th St
Astoria, OR 97103
Phone (503) 325-3661

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

3600 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

819 S Holladay Dr
Seaside, OR 97138
Phone (503) 610-1025

1703 Pacific Ave S
Long Beach, WA 98631
Phone (360) 642-3214

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1194278382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S HOLLADAY DR",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971386608",
            "telephone_number": "503-325-4401",
            "fax_number": "503-325-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 18TH ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033505",
            "telephone_number": "503-325-4401",
            "fax_number": "503-325-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "KATELYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4049AT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60677583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.