Tigard Vision World, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1863T Issued in OR

Legal business name

TIGARD VISION WORLD, P.C.

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

Organization subpart

No

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.

Title

President

Phone

(503) 703-7451

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tigard Vision World Doing business as

Locations

Practitioners 1

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

• Mark Yost

  • Optometrist
  • Tigard, OR
  • NPI 1821713645
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500774223",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tigard Vision World",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tigard Vision Center, Inc.
• Tigard-Tualatin School District 23J
• Tigard-Tualatin School District 23J
• Tigard-Tualatin School District 23J
• Robert John Tilley, M.D.
• Miriam Estefania Tilson

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

• 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.