Oizu Optic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3462ATI Issued in OR

Legal business name

OIZU OPTIC LLC

Doing business as

Portland Eye Care

Practice address

4133 SE Division St
Portland, OR 97202-1646

Phone

(503) 444-7639

Fax

(503) 972-1593

NPI assigned

Jan 24, 2014

Last updated

Jan 24, 2014By 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

Dr. Samuel Adelman, O.D.NPI 1043545122

Title

Optometrist

Phone

(503) 660-3093

Specialties & licenses 6

Addresses

Other names 1

• Portland Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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.

• Samuel Edward Adelman, O.D.

  • Optometrist
  • Happy Valley, OR
  • NPI 1043545122
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1295158301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021646",
            "telephone_number": "503-444-7639",
            "fax_number": "503-972-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021646",
            "telephone_number": "503-444-7639",
            "fax_number": "503-972-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OIZU OPTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "ADELMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "503-660-3093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3462ATI",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OR",
            "license": "3462ATI",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "3462ATI",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "OR",
            "license": "3462ATI",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "3462ATI",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "OR",
            "license": "3462ATI",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Renee Ohrling
• Alysen Rayne Ohrmund
• Miranda Lyn Ohs
• Ohsu Hospital Outpatient Services
• Ohsu Outpatient Clinical Services LLC (OHSU Health Diagnostic Imaging Clinic, Cedar Hills)
• Olufunke Ojebode
• Chandra Shekhar Ojha, MD
• George S Oji, M.D.
• Craig Yoshitsugu Okada, MD
• Anthony Okafor

• 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 Jan 24, 2014; 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.