Abc Optometric PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ABC OPTOMETRIC PC

Doing business as

ABC Vison Source Aloha

Practice address

2991 SE 75TH Ave
Hillsboro, OR 97123-6210

Phone

(503) 649-7566

Fax

(503) 649-0123

NPI assigned

Jul 25, 2007

Last updated

Nov 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Hester

Title

Sec./Treas.

Phone

(503) 473-8039

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ABC Vison Source Aloha Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 9

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.

• Rachel Hope Blakemore, OD

  • Optometrist
  • Portland, OR
  • NPI 1245918580
  Medicare reassignment Care Compare group NPD
• Rachel Murphy, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1861841355
  Medicare reassignment Care Compare group NPD
• Mari Ward, O.D.

  • Optometrist
  • Sherwood, OR
  • NPI 1427060714
  Medicare reassignment Care Compare group NPD
• Rosaline Eunbee Cha, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1255778379

  OR

  Medicare reassignment Care Compare group NPD
• Christina VI Nguyen, OD, MPH

  • Optometrist
  • Portland, OR
  • NPI 1659081172
  Medicare reassignment Care Compare group
• Joseph Neron, OD

  • Optometrist
  • Salem, OR
  • NPI 1275647000
  Medicare reassignment NPD
• Amy Rae Van Heel, OD

  • Optometrist
  • McMinnville, OR
  • NPI 1598128019
  Medicare reassignment NPD
• Chad Wayne Lawson, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1992859854
  NPD (past)
• Ann Mary Slocum-Edmonds, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1194716449
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1285824417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 SE 75TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236210",
            "telephone_number": "503-649-7566",
            "fax_number": "503-649-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2991 SE 75TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236210",
            "telephone_number": "503-649-7566",
            "fax_number": "503-649-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18629 SW Tualatin Valley Hwy",
            "address_purpose": "LOCATION",
            "city": "Aloha",
            "state": "OR",
            "postal_code": "970063153",
            "country_code": "US",
            "telephone_number": "503-649-7566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20661 SW Roy Rogers Rd Ste 503",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "OR",
            "postal_code": "971409277",
            "country_code": "US",
            "telephone_number": "503-625-5599",
            "fax_number": "503-625-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABC OPTOMETRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SEC./TREAS.",
        "authorized_official_telephone_number": "503-473-8039"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2784ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226366",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Vison Source Aloha",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABC Vison Source Aloha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aayra Dental LLC (Cornelius Pass Dental Excellence)
• Chidimma Uche Abanulo, M.D.
• Erum Mansoor Abbas
• Abbas Abbaspour, PHARMACIST
• Kayla Abbatello
• Adrienne Elyse Abela
• Hunde Aboma
• Lesley Abrams-Schwartz
• Sofia Abreu
• Radawn Lee Abriel, RDH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.