Organization Active NPI

Mt. Hood Eye Care Corporation

  • Optometrist
  • Sandy, OR
National Provider Identifier
1326460221
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3371ATI Issued in OR
Legal business name
MT. HOOD EYE CARE CORPORATION
Practice address
36840 Industrial Way Ste D
Sandy, OR 97055-9254
Phone
(503) 484-8663
NPI assigned
Jan 11, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Anthony James Turin, O.D. F.A.A.O.NPI 1861635328
Title
Ceo
Phone
(503) 482-0475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20140730000748 OR Part B Supplier - Clinic/Group Practice 4486870375 Receives reassigned benefits from 4 practitioners
Practice locations: Sandy, OR

National Provider Directory

National Provider Directory

Locations

36840 Industrial Way
Ste D
Sandy, OR 97055
Phone (503) 482-0475

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3371ATI OR Primary
Eyewear Supplier 332H00000X

Addresses

NPPES NPI Registry

Primary practice location

36840 Industrial Way Ste D
Sandy, OR 97055-9254

Mailing address

36840 Industrial Way Ste D
Sandy, OR 97055-9254
Phone (503) 484-8663

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2023.

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1326460221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36840 INDUSTRIAL WAY STE D",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559254",
            "telephone_number": "503-484-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36840 INDUSTRIAL WAY STE D",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559254",
            "telephone_number": "503-484-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. HOOD EYE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "TURIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-482-0475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D. F.A.A.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3371ATI",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.