Neuro-Ophthalmic Associates, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD07886 Issued in OR

Legal business name

NEURO-OPHTHALMIC ASSOCIATES, LLC

Practice address

1040 NW 22ND Ave
Suite 200
Portland, OR 97210-3057

Phone

(503) 413-8015

Fax

(503) 413-6937

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Thomas Shults, M.D.

Title

Member-Owner

Phone

(503) 413-8032

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275664625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103057",
            "telephone_number": "503-413-8015",
            "fax_number": "503-413-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103057",
            "telephone_number": "503-413-8015",
            "fax_number": "503-413-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-OPHTHALMIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHULTS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER-OWNER",
        "authorized_official_telephone_number": "503-413-8032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD07886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Neuman, MD
• Emily Neumann
• Emma Jo Neumann
• Shawna L Neumann
• Carleigh Elizabeth Ray Neumeister, RDH
• Neurodivergent Peer Support LLC
• Neurohealth Associates, LLP
• Neurotherapeutic Pediatric Therapies Inc
• Mia M Neuse, MILENA NEUSE
• Ninfa Johnson Neuser, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.