The Spector Group, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2320T Issued in OR

Legal business name

THE SPECTOR GROUP, INC.

Practice address

226 E Historic Columbia River Hwy
Troutdale, OR 97060-2069

Phone

(503) 492-3897

Fax

(503) 665-4137

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Michael Gurtisen, OD

Title

Corporate President

Phone

(503) 492-3897

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Troutdale Vision Clinic Doing business as

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1205924206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E HISTORIC COLUMBIA RIVER HWY",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970602069",
            "telephone_number": "503-492-3897",
            "fax_number": "503-665-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E HISTORIC COLUMBIA RIVER HWY",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970602069",
            "telephone_number": "503-492-3897",
            "fax_number": "503-665-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPECTOR GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "GURTISEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "503-492-3897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2320T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031497",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019628",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troutdale Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Michelle Stewart
• Skyler Alexander Sherman Stone, ARNP
• Anne M Sutherland, M.D.
• Ashlyn G Taulbee, APRN, CNP
• Mallory L Taylor, LMT
• Karen Truong Tran, OD
• Troutdale Dental LLC
• Troutdale Dentalinc
• Colleen Elizabeth Goodwin Tyler, ND
• Timothy Lee Unger, R.N.

• Optometrist in Troutdale, OR
• Providers in Troutdale, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.