Beaumont Vision, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2852 ATI Issued in OR

Legal business name

BEAUMONT VISION, PC

Practice address

4331 NE Fremont Street
Portland, OR 97213

Phone

(503) 331-3937

Fax

(503) 528-1234

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John R Lewis, ODNPI 1669409868

Title

Optometrist

Phone

(503) 331-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• John Robert Lewis, OD

  • Optometrist
  • Portland, OR
  • NPI 1669409868
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Kay Pajot, O.D.

  • Optometrist
  • Forest Grove, OR
  • NPI 1982851903
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1780881276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 NE FREMONT STREET",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-331-3937",
            "fax_number": "503-528-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 NE FREMONT STREET",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-331-3937",
            "fax_number": "503-528-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT VISION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "503-331-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2852 ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Beaudine
• Lauren Beaudoin-Colegrove, LICSW
• Jennifer Simone Beaudoin, CSWA
• Krista Beaudoin, BA
• Beaumont Chiropractic Clinic
• Katherine Beaumont
• Ralph Harrison Beaumont, M.D.
• Jill Katherine Beauregard
• Beautiful River Consulting, LLC Dba Sustainable Self, LLC
• Beautiful Sunshine Therapy Limited

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.