Modern Eye Care of Portland LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MODERN EYE CARE OF PORTLAND LLC

Practice address

7417 SW Beaverton Hillsdale Hwy Ste 200
Portland, OR 97225-2100

Phone

(503) 803-4134

NPI assigned

Feb 17, 2020

Organization subpart

No

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

Authorized official

Name

Sadaf Sabahi, ODNPI 1205139300

Title

Owner

Phone

(503) 803-4134

Specialties & licenses 1

Addresses

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.

• Sadaf Sabahi, OD

  • Optometrist
  • Portland, OR
  • NPI 1205139300
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1376176511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 SW BEAVERTON HILLSDALE HWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 SW BEAVERTON HILLSDALE HWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252100",
            "telephone_number": "503-803-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYE CARE OF PORTLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "SABAHI",
        "authorized_official_first_name": "SADAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-803-4134",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Nell Mockenhaupt, ND
• Crystal Marie Mockler
• Andrew Craig Mocny, PHARM.D.
• Moda Wellness LLC
• Modagrant
• Modern Mindful Psychotherapy
• Modern Nutrition NW LLC
• Autumn Jennifer Modest
• Nir Modiano, MD, PHD
• Rachel Marie Modica-Russell

• 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 May 5, 2025; 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.