Organization Active NPI

Reynolds Optical

  • Optician
  • Portland, OR
National Provider Identifier
1669621207
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
163783 Issued in CA
Legal business name
REYNOLDS OPTICAL
Practice address
800 SW Alder
Portland, OR 97205-3107
Phone
(503) 223-8813
NPI assigned
Sep 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Mr. Gary Piehl
Title
Owner
Phone
(503) 223-8813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 163783 CA Primary

Addresses

Primary practice location

800 SW Alder
Portland, OR 97205-3107

Mailing address

800 SW Alder
Portland, OR 97205-3107
Phone (503) 223-8813

National Provider Directory

National Provider Directory

Locations

800 SW Alder St
Portland, OR 97205
Phone (503) 223-8813

Practitioners & affiliated clinicians

Practitioners 2

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": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1669621207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW ALDER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053107",
            "telephone_number": "503-223-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW ALDER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053107",
            "telephone_number": "503-223-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "PIEHL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-223-8813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "163783",
            "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 Sep 18, 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.