David C Carkner

Primary specialty

OptometristTaxonomy code 152W00000X

License

1137ATI Issued in OR

Practice address

1775 NE 39TH Ave
Portland, OR 97212-5322

Phone

(503) 288-6181

Fax

(503) 288-7690

NPI assigned

Oct 13, 2006

Last updated

Nov 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoban Vision IncGroup PAC ID 2365877586, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dave.carkner@direct.revolutionehr.com

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.

• Hoban Vision, Inc.

  • Optometrist
  • Portland, OR
  • NPI 1285271551
  Medicare reassignment Care Compare group NPD
• Carkners Family Vision Care P.C.

  • Optometrist
  • Portland, OR
  • NPI 1245556687
  Authorized official Same address or phone
• Carkner Family Vision Center

  • Optometrist
  • Portland, OR
  • NPI 1962584441
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1669562476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 NE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125322",
            "telephone_number": "503-288-6181",
            "fax_number": "503-288-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 NE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125322",
            "telephone_number": "503-288-6181",
            "fax_number": "503-288-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARKNER",
        "first_name": "DAVID",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1137ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE",
            "identifier": "T67484",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring for Community
• Caring PDX LLC
• Caring Portland Massage, LLC
• Renee Marie Carisio Farber, MD
• Carkner Family Vision Center
• Erin Carkner
• Carkners Family Vision Care P.C.
• Carl B. Vorhies, DDS (Cedar Creek Dental)
• Courtney Carl
• Marchelle Jaylee Carl

• 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 Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.