NPIMap

Organization Active NPI

Oregon Eye Specialists PC

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1487721023
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OREGON EYE SPECIALISTS PC
Practice address
6420 S Macadam Ave Ste 160
Portland, OR 97239-3517
Phone
(503) 244-8601
Fax
(503) 244-3013
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Devin M. Gattey, MD
Title
Ophthalmologist, Company President
Phone
(503) 244-8601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

6420 S Macadam Ave Ste 160
Portland, OR 97239-3517

Mailing address

6420 S Macadam Ave Ste 160
Portland, OR 97239-3517
Phone (503) 244-8601

Other identifiers 19

IdentifierTypeStateIssuer
07894-4MedicaidOR
14958-3MedicaidOR
22634-4MedicaidOR
CS5592OtherRR MEDICARE PTAN
02262-6MedicaidOR
06527-1MedicaidOR
22633-5MedicaidOR
26075-2MedicaidOR
02557-2MedicaidOR
04877-7MedicaidOR
23334-9MedicaidOR
CH568OtherRR MEDICARE PTAN
27152-8MedicaidOR
27665-8MedicaidOR
28849-0MedicaidOR
DA3276OtherRR MEDICARE PTAN
21536-8MedicaidOR
22935-3MedicaidOR
06008-7MedicaidOR

Other names 1

  • The Sight Shop Doing business as

National Provider Directory

National Provider Directory

Locations

6420 S Macadam Ave
Ste 160
Portland, OR 97239
Phone (503) 244-8601

Ownership & related parties

Subparts reporting this organization as parent 13

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1487721023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 S MACADAM AVE STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393517",
            "telephone_number": "503-244-8601",
            "fax_number": "503-244-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 S MACADAM AVE STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393517",
            "telephone_number": "503-244-8601",
            "fax_number": "503-244-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON EYE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "GATTEY",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST, COMPANY PRESIDENT",
        "authorized_official_telephone_number": "503-244-8601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07894-4",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14958-3",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22634-4",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "CS5592",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02262-6",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06527-1",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22633-5",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26075-2",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02557-2",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04877-7",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23334-9",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "CH568",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27152-8",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27665-8",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28849-0",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "DA3276",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21536-8",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22935-3",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06008-7",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sight Shop",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Sight Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.