NPIMap

Organization Active NPI

Hillsboro Eye Clinic, PC

Doing business as South Hillsboro Optical

  • Eyewear Supplier
  • Hillsboro, OR
National Provider Identifier
1508500265
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
HILLSBORO EYE CLINIC, PC
Doing business as
South Hillsboro Optical
Practice address
7305 SE Circuit Dr Ste 132
Hillsboro, OR 97123-1915
Phone
(503) 640-3708
NPI assigned
Apr 27, 2022
Organization subpart
Yes
Parent organization
HILLSBORO EYE CLINIC, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Shannon Hunt
Title
Office Manager
Phone
(503) 640-3708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

7305 SE Circuit Dr Ste 132
Hillsboro, OR 97123-1915

Mailing address

512 E Main St
Hillsboro, OR 97123-4137
Phone (503) 640-3708

Other names 1

  • South Hillsboro Optical Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 4406.0001@direct.hillsboroeyeclinic.nextgenshare.com Hillsboro Eye Clinic, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423004184 OR DME Supplier - Physician - OphthalmologyDME Supplier - Optician 2961499348 Practice locations: Hillsboro, OR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
South Hillsboro Opticians7305 SE Circuit Dr, Hillsboro, OR 97123-1915(503) 640-3708 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Hillsboro Opticians3 organizations share this tax ID, including this one
Part of
Hillsboro Opticians

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 Katlian St
Ste C
Sitka, AK 99835
Phone (503) 640-3708

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1508500265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234137",
            "telephone_number": "503-640-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 SE CIRCUIT DR STE 132",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231915",
            "telephone_number": "503-640-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO EYE CLINIC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLSBORO EYE CLINIC, PC",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-640-3708"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "4406.0001@direct.hillsboroeyeclinic.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Hillsboro Eye Clinic, PC",
            "address_1": "512 E Main St",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971234137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "South Hillsboro Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.