NPIMap

Organization Active NPI

Greg Schober PC

  • Optometrist
  • Portland, OR
National Provider Identifier
1619127271
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1457 ATI Issued in OR
Legal business name
GREG SCHOBER PC
Practice address
5901 SW Macadam Ave
Suite 105
Portland, OR 97239-3620
Phone
(503) 222-2990
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Greg W Scober
Title
Owner/Doctor
Phone
(503) 222-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1457 ATI OR Primary

Addresses

Primary practice location

5901 SW Macadam Ave
Suite 105
Portland, OR 97239-3620

Mailing address

5901 SW Macadam Ave
Suite 105
Portland, OR 97239-3620

National Provider Directory

National Provider Directory

Locations

5901 S Macadam Ave
Ste 105
Portland, OR 97239
Phone (503) 222-2990

Practitioners & affiliated clinicians

Practitioners 1

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": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1619127271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SW MACADAM AVE",
            "address_2": "SUITE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SW MACADAM AVE",
            "address_2": "SUITE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393620",
            "telephone_number": "503-222-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG SCHOBER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "SCOBER",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "503-222-2990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1457 ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.