Individual provider Active NPI

Remy John Delplanche, O.D.

  • Optometrist
  • Beaverton, OR
National Provider Identifier
1386652220
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3001ATI Issued in OR
Practice address
4280 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone
(503) 644-5665
Fax
(503) 646-6046
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3001ATI OR Primary

Addresses

Primary practice location

4280 SW Cedar Hills Blvd
Beaverton, OR 97005

Mailing address

4280 SW Cedar Hills Blvd
Beaverton, OR 97005-2029
Phone (503) 644-5665

Other identifiers 1

IdentifierTypeStateIssuer
120290MedicaidOR

Other names 1

  • Remy John Delplanche Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000559 OR Practitioner - Optometry 2163424961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4280 SW Cedar Hills Blvd
Beaverton, OR 97005-2029
Phone (503) 644-5665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Remy Delplanche PC Optometrist CurrentSince Mar 26, 2007 Accepting new patients

Locations

4280 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 644-5665

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1386652220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 SW CEDAR HILLS BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052029",
            "telephone_number": "503-644-5665",
            "fax_number": "503-646-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 SW CEDAR HILLS BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97005",
            "telephone_number": "503-644-5665",
            "fax_number": "503-646-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPLANCHE",
        "first_name": "REMY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3001ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120290",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REMY",
            "last_name": "DELPLANCHE",
            "middle_name": "JOHN",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.