Paola F Vitiello, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2040ATI Issued in OR

Practice address

14740 NW Cornell Rd
110
Portland, OR 97229-5496

Phone

(503) 645-8002

Fax

(503) 645-8002

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pacific Eye Group, PC

  • Optometrist
  • Bend, OR
  • NPI 1831656925
  Medicare reassignment NPD
• Willow Creek Eye Care Inc.

  • Corneal and Contact Management Optometrist
  • Portland, OR
  • NPI 1598000903
  Authorized official Same address or phone
• Lake Oswego Vision Clinic LLC

  dba Lake Oswego Vision Clinic

  • Optometrist
  • Lake Oswego, OR
  • NPI 1750506937
  NPD (past)
• Sherwood Family Eye Health LLC

  • Clinic/Center
  • Sherwood, OR
  • NPI 1013045152
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801931605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 NW CORNELL RD",
            "address_2": "110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295496",
            "telephone_number": "503-645-8002",
            "fax_number": "503-645-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 NW CORNELL RD",
            "address_2": "110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295496",
            "telephone_number": "503-645-8002",
            "fax_number": "503-645-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITIELLO",
        "first_name": "PAOLA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2040ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000583",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vitalize Acupuncture and Herbal Medicine, LLC
• Vitalize Acupuncture Inc. (Vitalize acupuncture and herbal medicine)
• David Mark Vitello, AGPCNP
• Maggie Vitello, MSW
• Aaron Vitells, MD
• Vivacity Health, LLC
• Vivanta Neuro Geriatric Clinic
• Vivante Midwifery, Inc.
• Anna Vivatson, OT
• Amber Vivenzi

• 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.