Active NPI
Richard Babal, MANAGER
- Optician
- Portland, OR
National Provider Identifier
1295824282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 19500 SE Stark St
Portland, OR 97233-5757 - Phone
- (503) 669-5010
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
19500 SE Stark St
Portland, OR 97233-5757
Mailing address
19500 SE Stark St
Portland, OR 97233-5757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1295824282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19500 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972335757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19500 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972335757",
"telephone_number": "503-669-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABAL",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "MANAGER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.