Michael Scott Passo, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M013286 Issued in OR

Practice address

2445 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862

Phone

(503) 472-4688

Fax

(503) 474-4731

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• JHS Inc

  dba Physicians Optical

  • Durable Medical Equipment & Medical Supplies
  • McMinnville, OR
  • NPI 1750495214
  Authorized official Same address or phone
• JHS Inc

  dba Physicians Optical

  • Durable Medical Equipment & Medical Supplies
  • Lincoln City, OR
  • NPI 1780764944
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1588677256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288862",
            "telephone_number": "503-472-4688",
            "fax_number": "503-474-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288862",
            "telephone_number": "503-472-4688",
            "fax_number": "503-474-4731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4079 NW Logan Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973675080",
            "country_code": "US",
            "telephone_number": "541-994-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSO",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01029526A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "M013286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269696",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parko Inc (Mac Medical Shop)
• Parko, Inc. (Mac Prescription Shop)
• Parkside Living RTF
• Rae Parlier, RN
• Megan Parr, BA, QMHA-R
• Troy Joseph Pastora
• Kishore Gopinathan Pathial, MD
• Nyssa Ruth Paul
• Susan K Paul, LMT, LMP
• Joshua T Payton, PSY.D.

• Ophthalmology Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.