NPIMap

Organization Active NPI

Seaside Precision Vision

  • Optician
  • Seaside, OR
National Provider Identifier
1780882126
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
SEASIDE PRECISION VISION
Practice address
300 S Roosevelt Dr
Suite #4
Seaside, OR 97138-6799
Phone
(503) 738-5303
Fax
(503) 738-5303
NPI assigned
Jul 6, 2007
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Patrick Ryan McDonaldNPI 1730237819
Title
Owner
Phone
(503) 738-5303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

300 S Roosevelt Dr
Suite #4
Seaside, OR 97138-6799

Mailing address

300 S Roosevelt Dr
Suite #4
Seaside, OR 97138-6799
Phone (503) 738-5303

National Provider Directory

National Provider Directory

Locations

300 S Roosevelt Dr
Ste 4
Seaside, OR 97138
Phone (503) 738-5303

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1780882126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S ROOSEVELT DR",
            "address_2": "SUITE #4",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971386799",
            "telephone_number": "503-738-5303",
            "fax_number": "503-738-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S ROOSEVELT DR",
            "address_2": "SUITE #4",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971386799",
            "telephone_number": "503-738-5303",
            "fax_number": "503-738-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PRECISION VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-738-5303"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.