Active NPI
Derek James Buchanan
- Optician
- Portland, OR
National Provider Identifier
1710048335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- NOT APPLICABLE
- Practice address
- 925 SW Taylor St
Portland, OR 97205-2503 - Phone
- (503) 228-2154
- Fax
- (503) 228-4694
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | NOT APPLICABLE | OR | Primary |
| Optician | 156FX1800X | NOT APPLICABLE | OR |
Addresses
Primary practice location
925 SW Taylor St
Portland, OR 97205-2503
Mailing address
925 SW Taylor St
Portland, OR 97205-2503
Phone (503) 228-2154
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 838474000 | Other | OR | REGENCE BCBS PROVIDER # |
| TIN CONFIDENTIAL | Other | OR | LIFEWISE |
| 049424 | Medicaid | OR | |
| 1931129593 | Other | OR | VOCATIONAL REHAB VENDOR # |
| TIN CONFIDENTIAL | Other | OR | SUPERIOR VISION |
| 278184 | Medicaid | OR | |
| J6344 | Other | OR | PACIFIC SOURCE PROVIDER # |
| OP1880 | Other | OR | EYEMED PROVIDER # |
| TIN CONFIDENTIAL | Other | OR | CARE OREGON PROVIDER |
| TIN CONFIDENTIAL | Other | OR | MESO |
| TIN CONFIDENTIAL | Other | OR | ODS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NOT APPLICABLE | OR | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Sight Optical, Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1710048335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 SW TAYLOR ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052503",
"telephone_number": "503-228-2154",
"fax_number": "503-228-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 SW TAYLOR ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052503",
"telephone_number": "503-228-2154",
"fax_number": "503-228-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "DEREK",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OR",
"license": "NOT APPLICABLE",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "OR",
"license": "NOT APPLICABLE",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS PROVIDER #",
"identifier": "838474000",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIFEWISE",
"identifier": "TIN CONFIDENTIAL",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049424",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VOCATIONAL REHAB VENDOR #",
"identifier": "1931129593",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR VISION",
"identifier": "TIN CONFIDENTIAL",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278184",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE PROVIDER #",
"identifier": "J6344",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED PROVIDER #",
"identifier": "OP1880",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE OREGON PROVIDER",
"identifier": "TIN CONFIDENTIAL",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MESO",
"identifier": "TIN CONFIDENTIAL",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ODS HEALTH PLAN",
"identifier": "TIN CONFIDENTIAL",
"state": "OR"
}
],
"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 Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.