Mt. Hood Vision, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OR1223T Issued in OR

Legal business name

MT. HOOD VISION, INC

Practice address

22400 SE Stark St
Gresham, OR 97030-2656

Phone

(503) 667-0441

Fax

(503) 666-6718

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

O. Keene Clay, O.D.

Title

President

Phone

(503) 667-0441

Specialties & licenses 1

Addresses

Practitioners 1

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

• Steve Jung, O.D.

  • Optometrist
  • Eugene, OR
  • NPI 1073616983
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477571149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-667-0441",
            "fax_number": "503-666-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-667-0441",
            "fax_number": "503-666-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. HOOD VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "O.",
        "authorized_official_middle_name": "KEENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-667-0441",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "OR1223T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A. Mounts, LCSW
• Moving Boundaries, Inc
• Mt Hood Women'S Health PC
• Mt. Hood Adult Day Center LLC
• Mt. Hood Vision Center, LLC
• Mt. View Rehabilitation Services, Inc.
• MTH Clinic PC
• MTN. View Family Practice, PC
• Joanna E Mullett, MSPT
• Mulnomah County

• Optometrist in Gresham, OR
• Providers in Gresham, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.