Organization Active NPI

Remy Delplanche PC

  • Optometrist
  • Beaverton, OR
National Provider Identifier
1437284304
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REMY DELPLANCHE PC
Practice address
4280 SW Cedar Hills Blvd
Beaverton, OR 97005-2029
Phone
(503) 644-5665
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Dr. Remy John Delplanche, O.D.NPI 1386652220
Title
Optometrist
Phone
(503) 644-5665

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4280 SW Cedar Hills Blvd
Beaverton, OR 97005-2029

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
120290MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070326000079 OR Part B Supplier - Clinic/Group Practice 4284738634 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

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

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1437284304",
    "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"
        },
        {
            "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": "970052029",
            "telephone_number": "503-644-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMY DELPLANCHE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "DELPLANCHE",
        "authorized_official_first_name": "REMY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "503-644-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120290",
            "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 Mar 28, 2011; 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.