NPIMap

Organization Active NPI

Barnes Elite Eye Care

Doing business as Barnes Professional Eye Care

  • Optometrist
  • Portland, OR
National Provider Identifier
1366998759
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3141ATI Issued in OR
Legal business name
BARNES ELITE EYE CARE
Doing business as
Barnes Professional Eye Care
Practice address
11750 SW Barnes Rd
#120
Portland, OR 97225-5911
Phone
(503) 646-5194
Fax
(503) 646-9390
NPI assigned
Aug 26, 2016
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Matthew Schissler
Title
Office Manager
Phone
(503) 646-5194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3141ATI OR Primary

Addresses

Primary practice location

11750 SW Barnes Rd
#120
Portland, OR 97225-5911

Mailing address

11750 SW Barnes Rd Ste 120
Portland, OR 97225-5911
Phone (503) 646-5194

Other names 1

  • Barnes Professional Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Barnes Elite Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1366998759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 SW BARNES RD STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255911",
            "telephone_number": "503-646-5194",
            "fax_number": "503-646-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW BARNES RD",
            "address_2": "#120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255911",
            "telephone_number": "503-646-5194",
            "fax_number": "503-646-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES ELITE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHISSLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-646-5194"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3141ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnes Professional Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Barnes Professional Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.