Organization Active NPI

Shauna R. Schissler, OD and Associates, PC

  • Corneal and Contact Management Optometrist
  • Gresham, OR
National Provider Identifier
1225125503
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3141AT Issued in OR
Legal business name
SHAUNA R. SCHISSLER, OD AND ASSOCIATES, PC
Practice address
970 NW Eastman Pkwy
Gresham, OR 97030-5533
Phone
(503) 666-7703
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Dr. Shauna Renee Schissler, OD
Title
Optometric Physician
Phone
(503) 666-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 3141AT OR Primary

Addresses

Primary practice location

970 NW Eastman Pkwy
Gresham, OR 97030-5533

Mailing address

970 NW Eastman Pkwy
Gresham, OR 97030-5533
Phone (503) 666-7703

National Provider Directory

National Provider Directory

Locations

970 NW Eastman Pkwy
Gresham, OR 97030
Phone (503) 666-7460

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1225125503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 NW EASTMAN PKWY",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305533",
            "telephone_number": "503-666-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 NW EASTMAN PKWY",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305533",
            "telephone_number": "503-666-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA R. SCHISSLER, OD AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHISSLER",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "503-666-7703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OR",
            "license": "3141AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.