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

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

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 and National Provider Directory roles.

• Bernard P Conway OD PC

  • 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038120",
            "state": "OR"
        }
    ],
    "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.