Elaine Wyner

Primary specialty

OptometristTaxonomy code 152W00000X

License

4193ATI Issued in OR

Practice address

9169 SW Burnham St
Tigard, OR 97223-6105

Phone

(503) 639-5115

Fax

(503) 624-0542

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Murray Scholls Optique IncGroup PAC ID 1658357967, 3 clinicians

Tigard Vision Center, Inc.Group PAC ID 1355339300, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elaine.wyner@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Murray Scholls Optique Inc

  • Optometrist
  • Beaverton, OR
  • NPI 1598751802
  Medicare reassignment Care Compare group NPD
• Tigard Vision Center, Inc.

  • Optometrist
  • Tigard, OR
  • NPI 1821083635
  Medicare reassignment Care Compare group NPD
• West Linn Vision Center Inc

  • Optometrist
  • West Linn, OR
  • NPI 1043769227
  Medicare reassignment NPD

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1740643337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9169 SW BURNHAM ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236105",
            "telephone_number": "503-639-5115",
            "fax_number": "503-624-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9169 SW BURNHAM ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236105",
            "telephone_number": "503-639-5115",
            "fax_number": "503-624-0542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 8th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "West Linn",
            "state": "OR",
            "postal_code": "970684657",
            "country_code": "US",
            "telephone_number": "503-652-1479",
            "fax_number": "503-303-5587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14600 SW Murray Scholls Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970079712",
            "country_code": "US",
            "telephone_number": "503-579-6695",
            "fax_number": "503-579-6658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNER",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4193ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Wright
• Meredth Wrinkle
• Austen Wuellner
• Lisa Marie Wurzelbacher, PH.D.
• Wyeast Acupuncture and Wellness LLC
• Jeremy Wynn
• Mahlet Melese Wyohannes, RN
• Jason Wysocki, N.D., M.S.
• Geoffrey Xiao, PA-C
• Cheyenne Yakes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.