NPIMap

Organization Active NPI

Hillsboro Eye Clinic, PC

Doing business as Hillsboro Opticians

  • Ophthalmology Physician
  • Hillsboro, OR
National Provider Identifier
1275578775
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HILLSBORO EYE CLINIC, PC
Doing business as
Hillsboro Opticians
Practice address
512 E Main St
Hillsboro, OR 97123-4137
Phone
(503) 640-3708
Fax
(503) 693-0441
NPI assigned
Jun 18, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Shannon Hunt
Title
Office Manager
Phone
(503) 640-3708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

512 E Main St
Hillsboro, OR 97123-4137

Mailing address

512 E Main St
Hillsboro, OR 97123-4137
Phone (503) 640-3708

Other practice location 1

7305 SE Circuit Dr Ste 132
Hillsboro, OR 97123-1915
Phone (503) 640-3708

Other practice location 2

10690 NE Cornell Rd Ste 112
Hillsboro, OR 97124-9224
Phone (503) 640-3708

Other names 1

  • Hillsboro Opticians Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 4406.0001@direct.hillsboroeyeclinic.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040428000210 OR Part B Supplier - Clinic/Group Practice 2961499348 Receives reassigned benefits from 17 practitioners
Practice locations: Hillsboro, OR
O20100930088982 OR DME Supplier - Physician - OphthalmologyDME Supplier - Optician 2961499348 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hillsboro, OR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tanasbourne Optical10690 NE Cornell Rd, Hillsboro, OR 97124-9224(503) 640-3708 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

700 Katlian St
Ste C
Sitka, AK 99835
Phone (503) 640-3708

333 SE 7th Ave
Hillsboro, OR 97123
Phone (503) 597-4500

7305 SE Circuit Dr
Ste 132
Hillsboro, OR 97129
Phone (503) 640-3708

Interoperability endpoints

  • Direct secure messaging: 4406.0001@direct.hillsboroeyeclinic.nextgenshare.com

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1275578775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234137",
            "telephone_number": "503-640-3708",
            "fax_number": "503-693-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234137",
            "telephone_number": "503-640-3708",
            "fax_number": "503-693-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 SE Circuit Dr Ste 132",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971231915",
            "country_code": "US",
            "telephone_number": "503-640-3708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10690 NE Cornell Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971249224",
            "country_code": "US",
            "telephone_number": "503-640-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILLSBORO EYE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-640-3708"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "4406.0001@direct.hillsboroeyeclinic.nextgenshare.com",
            "affiliation": "N",
            "address_1": "512 E Main St",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971234137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hillsboro Opticians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hillsboro Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.