Organization Active NPI

Columbus Eye Associates P.C. Inc

  • Optometrist
  • Tigard, OR
National Provider Identifier
1215230636
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3126AT Issued in OR
Legal business name
COLUMBUS EYE ASSOCIATES P.C. INC
Practice address
7421 SW Bridgeport Rd
Tigard, OR 97224-7707
Phone
(503) 598-7616
NPI assigned
Dec 7, 2010
Organization subpart
Yes
Parent organization
LCA VISION/LASIK PLUSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Terri Rouse
Title
Director of Managed Care
Phone
(513) 354-5827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3126AT OR Primary

Addresses

Primary practice location

7421 SW Bridgeport Rd
Tigard, OR 97224-7707

Mailing address

7421 SW Bridgeport Rd
Tigard, OR 97224-7707

National Provider Directory

National Provider Directory
Tax ID family
Columbus Eye Associates Inc12 organizations share this tax ID, including this one
Part of
Lca-Vision Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7421 SW Bridgeport Rd
Tigard, OR 97224
Phone (503) 598-7616

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1215230636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 SW BRIDGEPORT RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 SW BRIDGEPORT RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247707",
            "telephone_number": "503-598-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS EYE ASSOCIATES P.C. INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LCA VISION/LASIK PLUS",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "513-354-5827"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3126AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.