Organization Active NPI

Oregon Eye Specialists

  • Eyewear Supplier
  • Gresham, OR
National Provider Identifier
1619086550
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OREGON EYE SPECIALISTS
Practice address
1380 E Powell Blvd
Gresham, OR 97030-8004
Phone
(503) 492-4128
Fax
(503) 492-4107
NPI assigned
Aug 30, 2006
Organization subpart
Yes
Parent organization
OREGON EYE SPECIALISTS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Teri Thurston
Title
Billing Manager
Phone
(503) 935-5564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1380 E Powell Blvd
Gresham, OR 97030-8004

Mailing address

6420 SW Macadam Ave
Suite 216
Portland, OR 97239-3507
Phone (503) 244-8601

Other names 1

  • Sight Shop Doing business as

National Provider Directory

National Provider Directory
Part of
Oregon Eye Specialists PC

Locations

6420 S Macadam Ave
Ste 216
Portland, OR 97239

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1619086550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SW MACADAM AVE",
            "address_2": "SUITE 216",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393507",
            "telephone_number": "503-244-8601",
            "fax_number": "503-244-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308004",
            "telephone_number": "503-492-4128",
            "fax_number": "503-492-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON EYE SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OREGON EYE SPECIALISTS PC",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "THURSTON",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "503-935-5564"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sight Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.