Individual provider Active NPI

Catherine B Saul, OD

  • Optometrist
  • Gresham, OR
National Provider Identifier
1457323495
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2474ATI Issued in OR
Practice address
2150 NE Division St
Suite 101
Gresham, OR 97030-5813
Phone
(503) 667-2424
Fax
(503) 492-3236
NPI assigned
Feb 3, 2006
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2474ATI OR Primary

Addresses

Primary practice location

2150 NE Division St
Suite 101
Gresham, OR 97030-5813

Mailing address

37685 SE Olson St
Sandy, OR 97055-9539
Phone (503) 780-9123

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
I20031202000069 OR Practitioner - Optometry 5698670826 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gresham Vision Source PC Optometrist CurrentSince Oct 23, 2003 Accepting new patients
Molalla Vision Clinic PC Optometrist CurrentSince Aug 2, 2019 Accepting new patients
Gresham Optical, Inc CurrentSince Nov 3, 2014 Accepting new patients
Hawthorne Vision Center PC Optometrist CurrentSince Jan 1, 2000 Accepting new patients
Gresham Vision Center, Inc Optometrist PastSince Oct 1, 2006 Accepting new patients
Gresham Vision Center, Inc Optometrist PastSince Oct 1, 2006 Accepting new patients

Locations

2150 NE Division St
Ste 101
Gresham, OR 97030
Phone (503) 667-2424

502 E Main St
Molalla, OR 97038
Phone (503) 829-9186

1274 SE 182nd Ave
Portland, OR 97233
Phone (503) 669-1992

4704 SE Hawthorne Blvd
Portland, OR 97215
Phone (503) 235-6639

929 NE 181st Ave
Portland, OR 97230
Phone (503) 669-1992

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1457323495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37685 SE OLSON ST",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559539",
            "telephone_number": "503-780-9123",
            "fax_number": "503-492-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NE DIVISION ST",
            "address_2": "SUITE 101",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305813",
            "telephone_number": "503-667-2424",
            "fax_number": "503-492-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "CATHERINE",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2474ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.