Portland Eye Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3306 ATI Issued in OR

Legal business name

PORTLAND EYE CLINIC LLC

Practice address

8001 SE Powell Blvd Ste L
Portland, OR 97206-2300

Phone

(503) 775-3110

Fax

(888) 803-2845

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Tran, O.D.NPI 1497983811

Title

Office Manager

Phone

(503) 705-3222

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

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

• Jennifer Tran, O.D.

  • Optometrist
  • Woodland, WA
  • NPI 1497983811

  OR

  Medicare reassignment Care Compare group NPD Authorized official
• Tam Nguyen, OD

  • Optometrist
  • Tigard, OR
  • NPI 1043731243
  Medicare reassignment Care Compare group NPD
• Amrita Kang, OD

  • Optometrist
  • Estacada, OR
  • NPI 1508210139
  Medicare reassignment NPD
• Huong Le Fearington, O.D.

  • Optometrist
  • Vancouver, WA
  • NPI 1992064596

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1346658960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 SE POWELL BLVD STE L",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062300",
            "telephone_number": "503-775-3110",
            "fax_number": "888-803-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 SE POWELL BLVD STE L",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062300",
            "telephone_number": "503-775-3110",
            "fax_number": "888-803-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-705-3222",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3306 ATI",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Dysphagia Diagnostics LLC
• Portland Ear Nose & Throat
• Portland Ear, Nose & Throat Specialists
• Portland Electrolysis and Skin Care
• Portland Emergency Dental Care USA PC
• Portland Eye Clinic LLC
• Portland Family Counseling
• Portland Family Practice Inc.
• Portland Family Services LLC
• Portland Foot and Ankle Institute, LLC

• 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 Nov 29, 2022; 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.