Individual provider Active NPI

Chris Omar Jamus, OD

  • Optometrist
  • Tualatin, OR
National Provider Identifier
1245717792
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4404ATI Issued in OR
Practice address
19200 SW Martinazzi Ave
Tualatin, OR 97062-6357
Phone
(503) 692-5040
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4404ATI OR Primary

Addresses

Primary practice location

19200 SW Martinazzi Ave
Tualatin, OR 97062-6357

Mailing address

19200 SW Martinazzi Ave
Tualatin, OR 97062-6357
Phone (503) 692-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181114002231 OR Practitioner - Optometry 8527312339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Eye Clinic LLCGroup PAC ID 3678624301, 6 clinicians
Sunset Vision Center LLCGroup PAC ID 9830242924, 5 clinicians

Practice addresses (Care Compare)

1865 NW 169TH PL
Suite 105
Beaverton, OR 97006-7310
Phone (503) 533-8441

7355 NE Imbrie Dr
Suite 101
Hillsboro, OR 97124-7596
Phone (503) 844-6858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4404ATIORMDOptometrist
4404ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Vision Center Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Sunset Vision Center LLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Sunset Eye Clinic LLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Sunset Vision Center Optometrist Past Accepting new patients

Locations

1865 NW 169th Pl
Ste 105
Beaverton, OR 97006
Phone (503) 533-8441

7355 NE Imbrie Dr
Ste 101
Hillsboro, OR 97124
Phone (503) 844-6858

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1245717792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19200 SW MARTINAZZI AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626357",
            "telephone_number": "503-692-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 SW MARTINAZZI AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626357",
            "telephone_number": "503-692-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMUS",
        "first_name": "CHRIS",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4404ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.