Individual provider Active NPI

Drew Perry, OD

  • Optometrist
  • Hillsboro, OR
National Provider Identifier
1548715709
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4312ATI Issued in OR
Practice address
5317 E Main St
Hillsboro, OR 97123-6447
Phone
(503) 648-5522
Fax
(503) 844-9334
NPI assigned
Aug 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OR
Optometrist 152W00000X 4312ATI OR Primary

Addresses

Primary practice location

5317 E Main St
Hillsboro, OR 97123-6447

Mailing address

5317 E Main St
Hillsboro, OR 97123-6447
Phone (503) 648-5522

Other practice location 1

2043 College Way
Forest Grove, OR 97116-1756
Phone (503) 352-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914003411 OR Practitioner - Optometry 3870862931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drew M. Perry, O D., Inc.Group PAC ID 7416052261, 3 clinicians

Practice addresses (Care Compare)

5317 E Main St
Hillsboro, OR 97123-6447
Phone (503) 648-5522

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4312ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Drew M Perry OD Inc CurrentSince Jul 31, 2017 Accepting new patients

Locations

5317 E Main St
Hillsboro, OR 97129
Phone (503) 648-5522

Organizations & group practices 1

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1548715709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236447",
            "telephone_number": "503-648-5522",
            "fax_number": "503-844-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236447",
            "telephone_number": "503-648-5522",
            "fax_number": "503-844-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2043 College Way",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971161756",
            "country_code": "US",
            "telephone_number": "503-352-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DREW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4312ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.