Organization Active NPI

Dr. Paul M. Wehner & Associates, PC

  • Optometrist
  • Portland, OR
National Provider Identifier
1679600977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2742ATI Issued in OR
Legal business name
DR. PAUL M. WEHNER & ASSOCIATES, PC
Doing business as
Eyes at Bethany Village
Practice address
15320 NW Central Dr
D8
Portland, OR 97229-0988
Phone
(503) 645-1116
Fax
(503) 645-0776
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul M. Wehner, O.D.
Title
President
Phone
(503) 645-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2742ATI OR Primary

Addresses

Primary practice location

15320 NW Central Dr
D8
Portland, OR 97229-0988

Mailing address

15320 NW Central Dr
D8
Portland, OR 97229-0988
Phone (503) 645-1116

Other names 1

  • Eyes at Bethany Village Doing business as

National Provider Directory

National Provider Directory

Locations

15320 NW Central Dr
Ste D8
Portland, OR 97229
Phone (503) 430-0386

Practitioners & affiliated clinicians

Practitioners 3

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679600977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15320 NW CENTRAL DR",
            "address_2": "D8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972290988",
            "telephone_number": "503-645-1116",
            "fax_number": "503-645-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 NW CENTRAL DR",
            "address_2": "D8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972290988",
            "telephone_number": "503-645-1116",
            "fax_number": "503-645-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAUL M. WEHNER & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEHNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-645-1116",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2742ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes at Bethany Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.