Active NPI
Sagina O'Halloran, O.D.
- Optometrist
- Portland, OR
National Provider Identifier
1386979466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3395ATI
- Practice address
- 3978 N Williams Ave
Portland, OR 97227-1445 - Phone
- (503) 944-5475
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3395ATI | OR | Primary |
Addresses
Primary practice location
3978 N Williams Ave
Portland, OR 97227-1445
Mailing address
1046 NW Johnson St
Portland, OR 97209-3024
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2250 NW Lovejoy St
Portland, OR 97210-3020
Phone (503) 719-5179
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3395 | OR | MD | Clinical Psychologist |
| 3395ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectacle LLC | Optometrist | Current | Accepting new patients |
| Spectacle LLC | Optometrist | Current | Accepting new patients |
| Pacific University | Optometrist | Current | Accepting new patients |
| Reed Eyecare, PC | Optometrist | Past | Accepting new patients |
Locations
2905 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005
Phone (503) 719-5179
2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020
222 SE 8th Ave
Ste 114
Hillsboro, OR 97123
Phone (503) 352-7300
Organizations & group practices 4
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.
-
- Optometrist
- Portland, OR
- NPI 1376951293
-
- Optometrist
- Hillsboro, OR
- NPI 1306954011
-
- Optometrist
- Beaverton, OR
- NPI 1639646912
-
- Optometrist
- Silverton, OR
- NPI 1194533885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1386979466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 NW JOHNSON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3978 N WILLIAMS AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271445",
"telephone_number": "503-944-5475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HALLORAN",
"first_name": "SAGINA",
"name_prefix": "Miss",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3395ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.