Individual provider Active NPI

William Todd Briscoe, O.D.

  • Optometrist
  • West Linn, OR
National Provider Identifier
1497743371
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2822AT Issued in OR
Practice address
22400 S Salamo Rd
West Linn, OR 97068-8269
Phone
(503) 722-7737
Fax
(503) 722-4152
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2822AT OR Primary

Addresses

Primary practice location

22400 S Salamo Rd
West Linn, OR 97068-8269

Mailing address

3985 S Roxbury Dr
West Linn, OR 97068-8296
Phone (503) 656-1947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2822ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentana Inc Optometrist CurrentSince May 8, 2001 Accepting new patients
Summit Eyecare, LLC Optometrist CurrentSince Mar 1, 2013 Accepting new patients
Innervision Optometric Inc. Optometrist PastSince May 1, 2004 Accepting new patients

Locations

22400 Salamo Rd
Ste 100
West Linn, OR 97068
Phone (503) 722-7737

22400 Salamo Rd
West Linn, OR 97068
Phone (503) 722-7737

8269 SW Wilsonville Rd
Ste C
Wilsonville, OR 97070
Phone (503) 685-9015

Interoperability endpoints

  • FHIR API: https://eyetoeyewilsonville.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1497743371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 S ROXBURY DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970688296",
            "telephone_number": "503-656-1947",
            "fax_number": "503-656-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 S SALAMO RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970688269",
            "telephone_number": "503-722-7737",
            "fax_number": "503-722-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "WILLIAM",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2822AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.