Nimbus Vision Clinic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NIMBUS VISION CLINIC, LLC

Practice address

8566 SW Apple Way
Portland, OR 97225-1772

Phone

(503) 297-4183

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

David McBride, ODNPI 1538278676

Title

Owner

Phone

(503) 297-4183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J McBride, OD

  • Optometrist
  • Portland, OR
  • NPI 1538278676
  Medicare reassignment Care Compare group NPD Authorized official
• Chelsea Nicole Territo, OD

  • Optometrist
  • Beaverton, OR
  • NPI 1003475625
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1730350414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8566 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-297-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8566 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-297-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMBUS VISION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-297-4183",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Alexander Niles
• Sally Lindsay Niles, MD
• Brit Amalie Nilsen, M.D.
• Stacia Lynnae Nilson, LPC
• Saelj Astrid Nilsson, FNP
• Alfreda Tina Nimely, QMHA-R
• Jim Beam Nimer
• Nine Suns LLC
• Sandy Thao Mai Ninh, PHARMD
• Shung L Nip, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.