Quest Mobile Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

QUEST MOBILE VISION LLC

Practice address

1900 E Fulton St
Newberg, OR 97132-1806

Phone

(503) 530-2198

NPI assigned

Oct 16, 2020

Last updated

Mar 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Seymour, OD

Title

Owner

Phone

(360) 525-7572

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA, NV3 enrollments

Enrollment records 3

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22549/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Hillier

  • Optometrist
  • Reno, NV
  • NPI 1043664071

  OR, WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1760080105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25604",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972980604",
            "telephone_number": "503-395-0008",
            "fax_number": "833-974-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E FULTON ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321806",
            "telephone_number": "503-530-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST MOBILE VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-525-7572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Health & Services - Oregon (PMG Newberg Family Medicine)
• Providence Health & Services - Oregon (Providence Newberg Medical Center)
• Providence Newberg Pharmacy
• Quality Medical Imaging of Oregon Inc
• Quality Medical Imaging of Oregon Inc
• Sarah Anne Rahkola, MD
• Barbara Maria Rajska, MD
• Tyler Rapke, LMT
• Robert Craig Raymond, MD
• Rebecca Minifie, LMT, LLC (Body Wisdom Massage Therapy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.