Organization Active NPI

Cornell Vision Center, Inc.

  • Optometrist
  • Hillsboro, OR
National Provider Identifier
1598885097
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CORNELL VISION CENTER, INC.
Practice address
1010 NE Cornell Rd
Hillsboro, OR 97124-3339
Phone
(503) 640-3333
Fax
(503) 681-9459
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Diana P Ludlam
Title
Owner
Phone
(503) 640-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1010 NE Cornell Rd
Hillsboro, OR 97124-3339

Mailing address

1010 NE Cornell Rd
Hillsboro, OR 97124-3339
Phone (503) 640-3333

National Provider Directory

National Provider Directory

Locations

1010 NE Cornell Rd
Hillsboro, OR 97124
Phone (503) 577-5845

Practitioners & affiliated clinicians

Practitioners 2

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1598885097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243339",
            "telephone_number": "503-640-3333",
            "fax_number": "503-681-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243339",
            "telephone_number": "503-640-3333",
            "fax_number": "503-681-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "LUDLAM",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-640-3333"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 19, 2007; 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.