Active NPI
William Todd Briscoe, O.D.
- Optometrist
- West Linn, OR
National Provider Identifier
1497743371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2822AT
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2822AT | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentana Inc | Optometrist | Current | Accepting new patients |
| Summit Eyecare, LLC | Optometrist | Current | Accepting new patients |
| Innervision Optometric Inc. | Optometrist | Past | 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
- 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.
-
- Optometrist
- West Linn, OR
- NPI 1578686002
-
- Optometrist
- West Linn, OR
- NPI 1518204692
-
- Optometrist
- Wilsonville, OR
- NPI 1962534578
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.