Individual provider Active NPI

Christopher Mark Thorsland, OD

  • Optometrist
  • Portland, OR
National Provider Identifier
1740405562
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3126 ATI Issued in OR
Practice address
7367 SW Bridgeport Rd
Portland, OR 97224-7710
Phone
(503) 372-5013
Fax
(503) 430-0951
NPI assigned
Apr 16, 2007
Last updated
Feb 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3126 ATI OR Primary

Addresses

Primary practice location

7367 SW Bridgeport Rd
Portland, OR 97224-7710

Mailing address

7367 SW Bridgeport Rd
Portland, OR 97224-7710
Phone (503) 372-5013

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316001042 OR Practitioner - OptometryPractitioner - Orthopedic SurgeryPractitioner - Preventive Medicine 8628103660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Preventive Medicine
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2383 NW Thurman St
Portland, OR 97210-2572
Phone (503) 227-0022

4441 SE Woodstock Blvd
Portland, OR 97206-6271
Phone (503) 775-4550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3126 ATIORMDOptometrist

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, 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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1740405562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7367 SW BRIDGEPORT RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247710",
            "telephone_number": "503-372-5013",
            "fax_number": "503-430-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7367 SW BRIDGEPORT RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247710",
            "telephone_number": "503-372-5013",
            "fax_number": "503-430-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSLAND",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3126 ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.