NPIMap

Organization Active NPI

Carkners Family Vision Care P.C.

  • Optometrist
  • Portland, OR
National Provider Identifier
1245556687
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1137ATI Issued in OR
Legal business name
CARKNERS FAMILY VISION CARE P.C.
Practice address
1775 NE Cesar E Chavez Blvd
Portland, OR 97212-5322
Phone
(503) 288-6181
NPI assigned
Apr 9, 2010
Last updated
Apr 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Dr. David C Carkner, ODNPI 1669562476
Title
Owner/Partner
Phone
(503) 692-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1137ATI OR Primary

Addresses

Primary practice location

1775 NE Cesar E Chavez Blvd
Portland, OR 97212-5322

Mailing address

1775 NE Cesar E Chavez Blvd
Portland, OR 97212-5322

National Provider Directory

National Provider Directory

Locations

19300 SW Boones Ferry Rd
Ste 1D
Tualatin, OR 97062
Phone (503) 692-2020

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1245556687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 NE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 NE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125322",
            "telephone_number": "503-288-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARKNERS FAMILY VISION CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "CARKNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "503-692-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1137ATI",
            "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 Apr 9, 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.