Organization Active NPI

Scott J Wojciechowski OD

Doing business as Moreland Vision Center

  • Optometrist
  • Portland, OR
National Provider Identifier
1730329137
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1735AT Issued in OR
Legal business name
SCOTT J WOJCIECHOWSKI OD
Doing business as
Moreland Vision Center
Practice address
6539 SE Milwaukie Ave
Portland, OR 97202-5519
Phone
(503) 236-6008
Fax
(503) 236-2057
NPI assigned
Feb 24, 2009
Last updated
Feb 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Dr. Scott J Wojciechowski, O.D.NPI 1164425948
Title
Sole Proprietor
Phone
(503) 236-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1735AT OR Primary

Addresses

Primary practice location

6539 SE Milwaukie Ave
Portland, OR 97202-5519

Mailing address

6539 SE Milwaukie Ave
Portland, OR 97202-5519
Phone (503) 236-6008

Other identifiers 1

IdentifierTypeStateIssuer
126693MedicaidOR

Other names 1

  • Moreland Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

6539 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 236-6008

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1730329137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6539 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025519",
            "telephone_number": "503-236-6008",
            "fax_number": "503-236-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6539 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025519",
            "telephone_number": "503-236-6008",
            "fax_number": "503-236-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT J WOJCIECHOWSKI OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "WOJCIECHOWSKI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "503-236-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1735AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126693",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreland Vision Center",
            "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 Feb 21, 2014; 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.