Optik PDX LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3344AT Issued in OR

Legal business name

OPTIK PDX LLC

Practice address

3838 N Mississippi Ave
Portland, OR 97227-1161

Phone

(503) 206-3937

Fax

(503) 206-3690

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ezra Atikune, O.D.

Title

Member/Optometrist

Phone

(503) 206-3937

Specialties & licenses 1

Addresses

Other names 1

• Optik PDX Doing business as

Locations

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1649560426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N MISSISSIPPI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271161",
            "telephone_number": "503-206-3937",
            "fax_number": "503-206-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N MISSISSIPPI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271161",
            "telephone_number": "503-206-3937",
            "fax_number": "503-206-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIK PDX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "ATIKUNE",
        "authorized_official_first_name": "EZRA",
        "authorized_official_title_or_position": "MEMBER/OPTOMETRIST",
        "authorized_official_telephone_number": "503-206-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3344AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optik PDX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.