NPIMap

Organization Active NPI

Rosemary F Detmer Stone OD

  • Optometrist
  • Beaverton, OR
National Provider Identifier
1609051259
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2568ATI Issued in OR
Legal business name
ROSEMARY F DETMER STONE OD
Practice address
14385 SW Allen Blvd Ste 102
Beaverton, OR 97005-4429
Phone
(503) 646-8592
Fax
(503) 526-3989
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Rosemary F Detmer Stone, O.D.NPI 1801871223
Title
Owner
Phone
(503) 646-8592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2568ATI OR Primary

Addresses

Primary practice location

14385 SW Allen Blvd Ste 102
Beaverton, OR 97005-4429

Mailing address

14385 SW Allen Blvd Ste 102
Beaverton, OR 97005-4429
Phone (503) 646-8592

Other names 1

  • A New Vision Doing business as

National Provider Directory

National Provider Directory

Locations

14385 SW Allen Blvd
Ste 102
Beaverton, OR 97005
Phone (503) 646-8592

14385 SW Allen Blvd
#1
Beaverton, OR 97005
Phone (503) 646-8592

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1609051259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14385 SW ALLEN BLVD STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054429",
            "telephone_number": "503-646-8592",
            "fax_number": "503-526-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14385 SW ALLEN BLVD STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054429",
            "telephone_number": "503-646-8592",
            "fax_number": "503-526-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARY F DETMER STONE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DETMER STONE",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-646-8592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2568ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.