NPIMap

Organization Active NPI

Tigard Vision World, P.C.

Doing business as Tigard Vision World

  • Optometrist
  • Tigard, OR
National Provider Identifier
1780972778
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1863T Issued in OR
Legal business name
TIGARD VISION WORLD, P.C.
Doing business as
Tigard Vision World
Practice address
9975 SW Frewing St
Suite 130
Tigard, OR 97223-5091
Phone
(503) 906-3596
Fax
(503) 906-1014
NPI assigned
Jul 12, 2011
Last updated
Sep 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Mr. Jeffrey Donald Harris, O.D.NPI 1629046818
Title
President
Phone
(503) 703-7451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1863T OR Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

9975 SW Frewing St
Suite 130
Tigard, OR 97223-5091

Mailing address

9975 SW Frewing St
Suite 130
Tigard, OR 97223-5091
Phone (503) 906-3596

Other names 1

  • Tigard Vision World Doing business as

National Provider Directory

National Provider Directory

Locations

9975 SW Frewing St
Tigard, OR 97223
Phone (503) 894-9005

Practitioners & affiliated clinicians

Practitioners 2

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": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1780972778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 SW FREWING ST",
            "address_2": "SUITE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235091",
            "telephone_number": "503-906-3596",
            "fax_number": "503-906-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 SW FREWING ST",
            "address_2": "SUITE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235091",
            "telephone_number": "503-906-3596",
            "fax_number": "503-906-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGARD VISION WORLD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-703-7451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1863T",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tigard Vision World",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.