Tillamook Optometric Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TILLAMOOK OPTOMETRIC CLINIC

Practice address

102 Main Ave
Tillamook, OR 97141-2218

Phone

(503) 842-4202

Fax

(503) 842-1002

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Cheryl Nelson

Title

Office Manager

Phone

(503) 842-4202

Specialties & licenses 1

Addresses

Practitioners 1

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

• Darren L Thorsen, O.D.

  • Optometrist
  • Long Beach, WA
  • NPI 1720082415
  NPD (past)

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1740546290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412218",
            "telephone_number": "503-842-4202",
            "fax_number": "503-842-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412218",
            "telephone_number": "503-842-4202",
            "fax_number": "503-842-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLAMOOK OPTOMETRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-842-4202"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tillamook Family Counseling Center
• Tillamook Family Counseling Center
• Tillamook Kidney Center LLC
• Tillamook Medical Associates Lab
• Tillamook Medical Associates PC
• Tillamook Specialist Associates, LLC
• Tillamook Speech Language Learning Center
• Debra M Torres, PMHNP
• Trask River Therapy LLC
• Jennifer L Travis, QMHP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.