Atlas Eye Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2674ATI Issued in OR

Legal business name

ATLAS EYE GROUP LLC

Practice address

7826 SW Capitol Hwy
Portland, OR 97219-2466

Phone

(541) 740-4942

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. James Ross Hale, OD

Title

Owner

Phone

(541) 740-4942

Specialties & licenses 1

Addresses

Other names 1

• Multnomah Vision Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Atlas Eye Group LLC

  • Optometrist
  • Troutdale, OR
  • NPI 1811438286

  O20160614001194

  Same enrollment

Locations

Practitioners 5

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

• Joseph Canfield Beattie, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1467507335
  Medicare reassignment NPD
• Mark Albert Breeden, OD

  • Optometrist
  • Eagle Point, OR
  • NPI 1063747145
  Medicare reassignment NPD
• Ayla Jade Himmelsbach, OD

  • Optometrist
  • Portland, OR
  • NPI 1003168337
  Medicare reassignment NPD
• Jonathan T Bloemers, OD

  • Optometrist
  • Troutdale, OR
  • NPI 1972102796
  NPD
• Darcy Marie Cairney, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1952454035
  NPD

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1376903328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 HERITAGE WAY SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228600",
            "telephone_number": "541-740-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192466",
            "telephone_number": "541-740-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS EYE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-740-4942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2674ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multnomah Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Atkinson, PSY.D.
• Paige Erin Laird Atkinson, CNM
• Tamara Marie Atkinson, M.D.
• Tracy Jo Atkinson, RDH
• Atlas Dental, LLC
• Atlas Recovery LLC
• Sahaja Atluri, MD
• Atomic Mindworks, LLC
• Sarah Christine Attal
• Julianna R Attard, PA-C

• All providers in Portland, OR
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.