Active NPI
Anh Bui
- Eyewear Supplier
- Portland, OR
National Provider Identifier
1225158496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Practice address
- 5845 NE Prescott St
Portland, OR 97218-2231 - Phone
- (503) 810-0064
- Fax
- (503) 287-3482
- NPI assigned
- Mar 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | OR | Primary |
Addresses
Primary practice location
5845 NE Prescott St
Portland, OR 97218-2231
Mailing address
5845 NE Prescott St
Portland, OR 97218-2231
Phone (503) 810-0064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montavilla Vision Professionals | Current | Accepting new patients |
Organizations & group practices 1
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": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225158496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5845 NE PRESCOTT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972182231",
"telephone_number": "503-810-0064",
"fax_number": "503-287-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5845 NE PRESCOTT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972182231",
"telephone_number": "503-810-0064",
"fax_number": "503-287-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "ANH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.