Active NPI
Weller Inc
Doing business as Crown Optical & Safety
- Optician
- Portland, OR
National Provider Identifier
1205984630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- WELLER INC
- Doing business as
- Crown Optical & Safety
- Practice address
- 2933 E Burnside St
Portland, OR 97214-1831 - Phone
- (503) 232-5006
- Fax
- (503) 239-3977
- NPI assigned
- Jan 8, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard W Weller
- Title
- Owner Optician
- Phone
- (503) 232-5006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
2933 E Burnside St
Portland, OR 97214-1831
Mailing address
2933 E Burnside St
Portland, OR 97214-1831
Phone (503) 232-5006
Other names 1
- Crown Optical & Safety
National Provider Directory
National Provider DirectoryLocations
2933 E Burnside St
Portland, OR 97214
Phone (503) 232-5006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205984630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141831",
"telephone_number": "503-232-5006",
"fax_number": "503-239-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2933 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141831",
"telephone_number": "503-232-5006",
"fax_number": "503-239-3977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WELLER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER OPTICIAN",
"authorized_official_telephone_number": "503-232-5006",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crown Optical & Safety",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.