NPIMap

Organization Active NPI

Portland Eye Clinic LLC

  • Optometrist
  • Portland, OR
National Provider Identifier
1578987616
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3306 ATI Issued in OR
Legal business name
PORTLAND EYE CLINIC LLC
Practice address
8001 SE Powell Blvd Ste L
Portland, OR 97206-2300
Phone
(503) 775-3110
NPI assigned
Feb 10, 2014
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
TRANSVISION EYECARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Dr. Jennier Tran, OD
Title
Owner
Phone
(503) 705-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3306 ATI OR Primary

Addresses

Primary practice location

8001 SE Powell Blvd Ste L
Portland, OR 97206-2300

Mailing address

11461 SE Highland Loop
Clackamas, OR 97015-7238
Phone (503) 705-3222

National Provider Directory

National Provider Directory
Part of
Transvision Eyecare PLLC

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1578987616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11461 SE HIGHLAND LOOP",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157238",
            "telephone_number": "503-705-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 SE POWELL BLVD STE L",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062300",
            "telephone_number": "503-775-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND EYE CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSVISION EYECARE PLLC",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JENNIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-705-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3306 ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 2014; 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.