Tso Portland PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TSO PORTLAND PLLC

Doing business as

TSO Portland

Practice address

1253 US Highway 181
Portland, TX 78374-1721

Phone

(361) 643-1516

NPI assigned

Apr 15, 2021

Last updated

Aug 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darrin C ShandleyNPI 1467938878

Title

Owner

Phone

(979) 417-8021

Specialties & licenses 1

Addresses

Other names 1

• TSO Portland Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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.

• Darrin C. Shandley, OD

  • Optometrist
  • Lake Jackson, TX
  • NPI 1467938878
  Medicare reassignment NPD Authorized official
• Robert M Barton, Jr., OD

  • Optometrist
  • Portland, TX
  • NPI 1326029406
  Medicare reassignment NPD
• Brian C Hart, OD

  • Optometrist
  • El Paso, TX
  • NPI 1457926966
  Medicare reassignment NPD
• Janet Marie Pena, O.D.

  • Optometrist
  • Portland, TX
  • NPI 1417989799
  NPD
• Brian K Shandley, OD

  • Optometrist
  • Lake Jackson, TX
  • NPI 1912104969
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1245811850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 US HIGHWAY 181",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741721",
            "telephone_number": "361-643-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 US HIGHWAY 181",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741721",
            "telephone_number": "361-643-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSO PORTLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "SHANDLEY",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-417-8021"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSO Portland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TSO Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Mortensen Thompson, D.D.S.
• Steven D Tietze, PT
• Christopher Tipton, LAT
• Torr Respiratory Services Inc (Torr Sleep Center)
• Orlando Torres Jr., PTA
• Bonnie Turner, LVN
• Kellie Lyn Underwood, OTR
• Vaani Dental PLLC (Vaani Dental)
• Monica Valdez, PHARMD
• George Edmund Varas, RPH

• Optometrist in Portland, TX
• Providers in Portland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.