Organization Active NPI

Beaverton Eye Health

  • Health Service Clinic/Center
  • Beaverton, OR
National Provider Identifier
1407112956
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3152ATI Issued in OR
Legal business name
BEAVERTON EYE HEALTH
Practice address
12345 SW Horizon Blvd
Ste 49
Beaverton, OR 97005
Phone
(503) 350-2727
Fax
(503) 625-2727
NPI assigned
Apr 10, 2012
Organization subpart
Yes
Parent organization
SHERWOOD FAMILY EYE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Adina Nela Zapodeanu, ODNPI 1659307932
Title
Owner
Phone
(503) 625-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 3152ATI OR Primary

Addresses

Primary practice location

12345 SW Horizon Blvd
Ste 49
Beaverton, OR 97005

Mailing address

20407 SW Borchers Dr
Ste 202
Sherwood, OR 97140-8988
Phone (503) 625-2727

Other identifiers 4

IdentifierTypeStateIssuer
1659307932OtherORINDIVIDUAL NPI FOR DR. ADINA NELA ZAPODEANU
1013045152OtherORGROUP NPI FOR SHERWOOD FAMILY EYE HEALTH
240246MedicaidOR
241823MedicaidOR

National Provider Directory

National Provider Directory
Part of
Sherwood Family Eye Health

Locations

12345 SW Horizon Blvd
Ste 49
Beaverton, OR 97007
Phone (503) 350-2727

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1407112956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20407 SW BORCHERS DR",
            "address_2": "STE 202",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408988",
            "telephone_number": "503-625-2727",
            "fax_number": "503-625-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 SW HORIZON BLVD",
            "address_2": "STE 49",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97005",
            "telephone_number": "503-350-2727",
            "fax_number": "503-625-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERTON EYE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHERWOOD FAMILY EYE HEALTH",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "ZAPODEANU",
        "authorized_official_first_name": "ADINA",
        "authorized_official_middle_name": "NELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-625-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "3152ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR DR. ADINA NELA ZAPODEANU",
            "identifier": "1659307932",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI FOR SHERWOOD FAMILY EYE HEALTH",
            "identifier": "1013045152",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240246",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241823",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.