Organization Active NPI

The Eye Studio, PC

  • Optometrist
  • Portland, OR
National Provider Identifier
1235458274
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2946AT Issued in OR
Legal business name
THE EYE STUDIO, PC
Practice address
339 NW 9TH Ave
Portland, OR 97209-3306
Phone
(503) 219-0023
Fax
(503) 219-0024
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Dr. Tina P Tsai, O.D.NPI 1184773558
Title
President/Optometrist
Phone
(503) 219-0023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2946AT OR Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 3293AT OR

Addresses

Primary practice location

339 NW 9TH Ave
Portland, OR 97209-3306

Mailing address

339 NW 9TH Ave
Portland, OR 97209-3306
Phone (503) 219-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000249 OR Part B Supplier - Clinic/Group Practice 7911193966 Receives reassigned benefits from 3 practitioners
Practice locations: Portland, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2058416The Eye Studio339 NW 9TH Ave, Portland, OR 97209Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

339 NW 9th Ave
Portland, OR 97209
Phone (503) 219-0023

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1235458274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 NW 9TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093306",
            "telephone_number": "503-219-0023",
            "fax_number": "503-219-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 NW 9TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093306",
            "telephone_number": "503-219-0023",
            "fax_number": "503-219-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE STUDIO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "503-219-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2946AT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3293AT",
            "primary": false
        }
    ],
    "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 May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.