Terry P Tobin OD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

1567ATI Issued in OR

Legal business name

TERRY P TOBIN OD PC

Doing business as

Cedar Mill Vision Center

Practice address

660 NW Murray Blvd
Portland, OR 97229-5872

Phone

(503) 646-6166

Fax

(503) 646-8113

NPI assigned

Dec 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Terry Patrick Tobin, OD

Title

President

Phone

(503) 314-7478

Specialties & licenses 1

Addresses

Other names 1

• Cedar Mill Vision Center Doing business as

Locations

Practitioners 1

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

• Bruce E. Goldman, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1417033960
  NPD (past)

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1437514387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NW MURRAY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295872",
            "telephone_number": "503-646-6166",
            "fax_number": "503-646-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 NW MURRAY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295872",
            "telephone_number": "503-646-6166",
            "fax_number": "503-646-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY P TOBIN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-314-7478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "1567ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Mill Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Elaine Terrell, M.A.
• April S Terrell, CRNA
• Jean Ann Terrell, L.M.T.
• Zulma Yatziri Terrones
• Terry L Isom DMD,PC
• Terry Ycasas, DC, LLC
• Ayla Terry-Mitchell, LCSW
• Annie Birthe Terry, MD
• Arianna Shalyn Terry, LMT
• Brooke Terry, MS, LPC

• Medical Specialty Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.