Individual provider Active NPI

Katerina Ann Tomlinson Coontz, OD

  • Optometrist
  • Tigard, OR
National Provider Identifier
1740858737
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4569 Issued in OR
Practice address
16200 SW Pacific Hwy Ste S
Tigard, OR 97224-4055
Phone
(503) 372-1220
Fax
(971) 762-3635
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ATI4569 OR Primary

Addresses

Primary practice location

16200 SW Pacific Hwy Ste S
Tigard, OR 97224-4055

Mailing address

16200 SW Pacific Hwy Ste S
Tigard, OR 97224-4055
Phone (503) 372-1220

Other practice location 1

3205 SW Cedar Hills Blvd
Beaverton, OR 97005-1374
Phone (503) 646-7995

Other names 1

  • Katerina Ann Tomlinson Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622000009 OR Practitioner - Optometry 4284034778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.82 of 100Reported as group
Quality
64.08
Improvement activities
40
Cost
80.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ATI4569ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Eye Physicians, LLC Optometrist CurrentSince Mar 20, 2023 Accepting new patients
Darren L Thorsen OD Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Pacific Eye Group, PC Optometrist CurrentSince Nov 7, 2022 Accepting new patients
National Vision Inc Optometrist CurrentSince Jun 3, 2025 Accepting new patients
Darren L Thorsen, OD Optometrist CurrentSince Jun 1, 2021 Accepting new patients

Locations

553 18th St
Astoria, OR 97103
Phone (503) 325-3661

3205 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 643-4840

63455 N Highway 97
Ste 75
Bend, OR 97703
Phone (541) 388-7906

970 NW Eastman Pkwy
Gresham, OR 97030
Phone (503) 666-7460

819 S Holladay Dr
Seaside, OR 97138
Phone (503) 610-1025

20015 SW Pacific Hwy
Ste 150
Sherwood, OR 97140
Phone (503) 610-1025

7000 SW Redwood Ln
Tigard, OR 97224
Phone (503) 210-9150

16200 SW Pacific Hwy
Ste S
Tigard, OR 97224
Phone (503) 372-1220

102 Main Ave
Tillamook, OR 97141
Phone (503) 374-0399

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1740858737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 SW PACIFIC HWY STE S",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244055",
            "telephone_number": "503-372-1220",
            "fax_number": "971-762-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 SW PACIFIC HWY STE S",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244055",
            "telephone_number": "503-372-1220",
            "fax_number": "971-762-3635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 SW Cedar Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970051374",
            "country_code": "US",
            "telephone_number": "503-646-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMLINSON COONTZ",
        "first_name": "KATERINA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATERINA",
            "last_name": "TOMLINSON",
            "middle_name": "ANN",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.