Bernard Conway, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2182T Issued in OR

Practice address

11805 NW Cedar Falls Dr
Ste 105
Portland, OR 97229-2776

Phone

(503) 747-0265

Fax

(503) 530-8648

NPI assigned

Aug 4, 2006

Last updated

Oct 24, 2016By 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

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bernard P Conway OD PCGroup PAC ID 2466773999, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bernard P Conway OD PC

  dba Specs 20/20

  • Optometrist
  • Portland, OR
  • NPI 1609268051
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1285642421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 NW CEDAR FALLS DR",
            "address_2": "STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292776",
            "telephone_number": "503-474-0265",
            "fax_number": "503-530-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 NW CEDAR FALLS DR",
            "address_2": "STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292776",
            "telephone_number": "503-747-0265",
            "fax_number": "503-530-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2182T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Helen Converse, ND
• Fox Aven Convey, MA
• Aaron Conville, CADC I, LPC-A
• Alexander Conway, MD
• Andrew Conway, ND
• Lauren Conway, MSW
• Delanie Conzelmann
• Gregg O Coodley, MD
• Karen Coodley
• Aaron Lawson Cook

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.