Scott Iburg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3507ATI Issued in OR

Practice address

25699 SW Argyle Ave
Ste a
Wilsonville, OR 97070-5798

Phone

(503) 833-2662

Fax

(216) 342-1103

NPI assigned

Oct 6, 2010

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Katherine a. Ruecker, O.D. and Associates, P.C.Group PAC ID 5193011955, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Katherine a. Ruecker, O.D, & Associates, P.C.

  • Optometrist
  • Hillsboro, OR
  • NPI 1689025678
  Medicare reassignment Care Compare group NPD
• Bridgeport Eye Physicians, LLC

  • Ophthalmology Physician
  • Sherwood, OR
  • NPI 1215135066

  Optometrist

  Medicare reassignment NPD
• Rha Ventures LLC

  dba Lenza Eye Center

  • Ophthalmology Physician
  • Wilsonville, OR
  • NPI 1376942821

  Optometrist

  Medicare reassignment NPD
• Eyes of Oregon LLC

  • Optometrist
  • Lake Oswego, OR
  • NPI 1548519044
  NPD (past)
• Stuart a Terry MD PA

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1558336412
  NPD (past)

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669781746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25699 SW ARGYLE AVE",
            "address_2": "STE A",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705798",
            "telephone_number": "503-639-3937",
            "fax_number": "503-620-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25699 SW ARGYLE AVE",
            "address_2": "STE A",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705798",
            "telephone_number": "503-833-2662",
            "fax_number": "216-342-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBURG",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3507ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500674578",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Helen Huber, PT, DPT
• Jerry Huff Jr.
• Timothy B Hughes, DPT, PT
• Gina Dever Huntley, LMT
• Rosiland Lynn Hursh, O.D.
• Imaginative Healing Collective
• Elaine Imoniruwe
• Innervision Optometric Inc. (Eye to Eye Clinic Wilsonville)
• Interventional and Vascular Consultants PC
• Kelli Burk Iranshad, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.