Individual provider Active NPI

Scotty Morris, OD

  • Optometrist
  • Hillsboro, OR
National Provider Identifier
1588139539
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4378ATI Issued in OR
Practice address
5880 NE Cornell Rd Ste B
Hillsboro, OR 97124-9075
Phone
(503) 905-2828
Fax
(503) 905-2829
NPI assigned
Oct 5, 2018
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4378ATI OR Primary

Addresses

Primary practice location

5880 NE Cornell Rd Ste B
Hillsboro, OR 97124-9075

Mailing address

3800 NW Columbia Ave
Portland, OR 97229-3273
Phone (503) 629-0366

Other practice location 1

1151 N Adair St Ste 104
Cornelius, OR 97113-8900
Phone (503) 352-8543

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
I20200404000611 OR Practitioner - Optometry 8628407137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific UniversityGroup PAC ID 0345144705, 30 clinicians

Practice addresses (Care Compare)

1151 N Adair St
Suite 104
Cornelius, OR 97113-8900
Phone (503) 352-8543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4378ATIORMDOptometrist
4378ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meganeko LLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Pacific University Optometrist Current Accepting new patients
Pacific University Optometrist CurrentSince Feb 10, 2022 Accepting new patients
Pacific University CurrentSince Feb 10, 2022 Accepting new patients
Northwest Eye Care LLC Optometrist Past Accepting new patients

Locations

1151 N Adair St
#104
Cornelius, OR 97113
Phone (503) 352-8543

1151 N Adair St
Ste 104
Cornelius, OR 97113
Phone (503) 352-8543

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

222 SE 8th Ave
#212
Hillsboro, OR 97123
Phone 5033522400 ext. 8060

222 SE 8th Ave
Ste 114
Hillsboro, OR 97123
Phone (503) 352-7300

1411 SW Morrison St
Ste 310
Portland, OR 97205

7826 SW Capitol Hwy
Portland, OR 97219
Phone (503) 244-7788

Interoperability endpoints

  • Direct secure messaging: smorris373263@direct.ochin.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1588139539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 NW COLUMBIA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293273",
            "telephone_number": "503-629-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 NE CORNELL RD STE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249075",
            "telephone_number": "503-905-2828",
            "fax_number": "503-905-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 N Adair St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "OR",
            "postal_code": "971138900",
            "country_code": "US",
            "telephone_number": "503-352-8543",
            "fax_number": "503-352-8535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SCOTTY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4378ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.