Organization Active NPI

Usv Optical Inc

  • Eyewear Supplier
  • Portland, OR
National Provider Identifier
1770505752
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
USV OPTICAL INC
Practice address
12300 SE 82ND Ave
Portland, OR 97266-7717
Phone
(503) 653-5935
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Randi Woerner
Title
Professional Relations Manager
Phone
(856) 228-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

12300 SE 82ND Ave
Portland, OR 97266-7717

Mailing address

1 Harmon Dr
Blackwood, NJ 08012-5103
Phone (856) 228-1000

Other identifiers 1

IdentifierTypeStateIssuer
1578891008OtherBILLING NPI

National Provider Directory

National Provider Directory

Locations

12300 SE 82nd Ave
Portland, OR 97086
Phone (503) 653-5935

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1770505752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARMON DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080125103",
            "telephone_number": "856-228-1000",
            "fax_number": "856-718-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 SE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972667717",
            "telephone_number": "503-653-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USV OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "WOERNER",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "PROFESSIONAL RELATIONS MANAGER",
        "authorized_official_telephone_number": "856-228-1000"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING NPI",
            "identifier": "1578891008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.