Individual provider Active NPI

Kevin Schou, B.C.O.

  • Ocularist
  • Eugene, OR
National Provider Identifier
1649379280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
Practice address
1800 Valley River Dr Ste 300
Eugene, OR 97401-6720
Phone
(800) 200-0908
NPI assigned
Sep 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ocularist 156FX1700X NU Primary

Addresses

Primary practice location

1800 Valley River Dr Ste 300
Eugene, OR 97401-6720

Mailing address

4035 Mercantile Dr Ste 208
Lake Oswego, OR 97035-2591
Phone (503) 675-1320

Other identifiers 1

IdentifierTypeStateIssuer
125096MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maloney's Custom Ocular Prosthetics, Inc. Ocularist Current Accepting new patients

Locations

4035 Mercantile Dr
Ste 208
Lake Oswego, OR 97035
Phone (503) 675-1320

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649379280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 MERCANTILE DR STE 208",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352591",
            "telephone_number": "503-675-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VALLEY RIVER DR STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016720",
            "telephone_number": "800-200-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOU",
        "first_name": "KEVIN",
        "credential": "B.C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125096",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.