Jay Gordon Betts, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DO07540 Issued in OR

Practice address

10365 SE Sunnyside Rd
Suite 150
Clackamas, OR 97015-5741

Phone

(503) 698-2300

Fax

(503) 698-2308

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Globe Weis Management Group

  • Ophthalmology Physician
  • Clackamas, OR
  • NPI 1083899413
  Authorized official Same address or phone
• St Lukes Eye Clinic PC

  • Ophthalmology Physician
  • Clackamas, OR
  • NPI 1730366246
  NPD (past) Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265518666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD",
            "address_2": "SUITE 150",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155741",
            "telephone_number": "503-698-2300",
            "fax_number": "503-698-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD",
            "address_2": "SUITE 150",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155741",
            "telephone_number": "503-698-2300",
            "fax_number": "503-698-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "JAY",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "DO07540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067231",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Bernklau Halvor
• Allen R Berry, CRNA
• Ethan A Berry, MSN CRNA
• Rebecca Bertram, PHARMD
• Denise Lynette Best, L.P.C.
• Lara Bickford, MD
• Maribel Del Carmen Bieberach, MD
• Madison Bieker
• Big Red, LLC (Brookside Place)
• Julie Bigler, CRNA

• Ophthalmology Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Ophthalmology Physician in Oregon

• 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.

Verify at the official NPI Registry.