Individual provider Active NPI

James Kundart

  • Vision Therapy Optometrist
  • Forest Grove, OR
National Provider Identifier
1710923941
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
3143T Issued in OR
Practice address
Pacific University College of Optometry
2043 College Way
Forest Grove, OR 97116-1797
Phone
(503) 352-2020
Fax
(503) 352-2929
NPI assigned
Jun 22, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 3143T OR Primary

Addresses

Primary practice location

Pacific University College of Optometry
2043 College Way
Forest Grove, OR 97116-1797

Mailing address

Pacific University College of Optometry
2043 College Way
Forest Grove, OR 97116-1797
Phone (503) 352-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051007000337 OR Practitioner - Optometry 2466477534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific UniversityGroup PAC ID 0345144705, 30 clinicians

Practice addresses (Care Compare)

2043 College Way
Forest Grove, OR 97116-1756
Phone (503) 352-2756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3143TORMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific University CurrentSince Jan 30, 2017 Accepting new patients
Pacific University Current Accepting new patients
Pacific University CurrentSince Jan 30, 2017 Accepting new patients

Locations

2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020

222 SE 8th Ave
#212
Hillsboro, OR 97123
Phone 5033522400 ext. 8060

222 SE 8th Ave
Ste 114
Hillsboro, OR 97123
Phone (503) 352-7300

1411 SW Morrison St
Ste 310
Portland, OR 97205

3653 SE 34th Ave
Portland, OR 97202
Phone (503) 988-3506

Interoperability endpoints

  • Direct secure messaging: jkundart315797@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710923941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY",
            "address_2": "2043 COLLEGE WAY",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161797",
            "telephone_number": "503-352-2020",
            "fax_number": "503-352-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY",
            "address_2": "2043 COLLEGE WAY",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161797",
            "telephone_number": "503-352-2020",
            "fax_number": "503-352-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDART",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "3143T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

Verify at the official NPI Registry.