Active NPI
Rosemary F Detmer Stone, O.D.
- Vision Therapy Optometrist
- Beaverton, OR
National Provider Identifier
1801871223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 2568AT
- Practice address
- 4655 SW Griffith Dr
#165
Beaverton, OR 97005-8728 - Phone
- (503) 646-8592
- Fax
- (503) 526-3989
- NPI assigned
- Dec 8, 2005
- Last updated
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 2568AT | OR | Primary |
Addresses
Primary practice location
4655 SW Griffith Dr
#165
Beaverton, OR 97005-8728
Mailing address
4655 SW Griffith Dr
#165
Beaverton, OR 97005-8728
Phone (503) 646-8592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4655 SW Griffith Dr
Suite 165
Beaverton, OR 97005-8731
Phone (503) 646-8592
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2568AT | OR | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Vision, P.C. | Vision Therapy | Current | Accepting new patients |
| Rosemary F Detmer Stone OD | Past | Accepting new patients |
Locations
4655 SW Griffith Dr
Ste 165
Beaverton, OR 97005
Phone (503) 646-8592
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1801871223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 SW GRIFFITH DR",
"address_2": "#165",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970058728",
"telephone_number": "503-646-8592",
"fax_number": "503-526-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4655 SW GRIFFITH DR",
"address_2": "#165",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970058728",
"telephone_number": "503-646-8592",
"fax_number": "503-526-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETMER STONE",
"first_name": "ROSEMARY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OR",
"license": "2568AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.