Sunset Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUNSET VISION CENTER

Practice address

333 S 1St Ave
Suite-a
Hillsboro, OR 97123-3902

Phone

(503) 357-8454

Fax

(503) 357-8465

NPI assigned

Nov 20, 2006

Last updated

Apr 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenny Benjamin Lee, O.D

Title

Partner

Phone

(503) 357-8454

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sunset Vision Center LLC

  • Optometrist
  • Hillsboro, OR
  • NPI 1104997659

  O20090807000155

  Same enrollment

Locations

Practitioners 3

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.

• Chris Omar Jamus, OD

  • Optometrist
  • Tualatin, OR
  • NPI 1245717792
  NPD
• Joseph Lim

  • Optometrist
  • Beaverton, OR
  • NPI 1538047527
  NPD
• Boram Chung, OD

  • Optometrist
  • Hillsboro, OR
  • NPI 1437389111
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1639243652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 1ST AVE",
            "address_2": "SUITE-A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233902",
            "telephone_number": "503-357-8454",
            "fax_number": "503-357-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 1ST AVE",
            "address_2": "SUITE-A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233902",
            "telephone_number": "503-357-8454",
            "fax_number": "503-357-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "503-357-8454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Sullivan, B.S
• Sarah Marie Sultemeier, OTR
• Cherinet Sumamo
• Travis Sundeen
• Peter Martin Sunderland, PH.D.
• Sunset Vision Center LLC
• Sunstone Integrative Mental Health
• Surgical Assistant PC
• Polina Surikova
• Radhika Suryadevara, M.D.

• Optometrist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.