Individual provider Active NPI

Katherine Hess Phillips, O.D.

  • Optometrist
  • Lake Oswego, OR
National Provider Identifier
1811026719
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3123ATI Issued in OR
Practice address
5335 Meadows Rd
Suite 151
Lake Oswego, OR 97035-3398
Phone
(503) 684-1280
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3123ATI OR Primary

Addresses

Primary practice location

5335 Meadows Rd
Suite 151
Lake Oswego, OR 97035-3398

Mailing address

7535 SW Barnes Rd
Ste 111
Portland, OR 97225-6269
Phone (503) 297-3233

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000161 OR Practitioner - Optometry 9830278092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Hills Vision Care, LLCGroup PAC ID 0749452449, 2 clinicians

Practice addresses (Care Compare)

7535 SW Barnes Rd
Suite 111
Portland, OR 97225-6269
Phone (503) 764-9321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3123ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Hills Vision Care, LLC Optometrist CurrentSince Jul 6, 2011 Accepting new patients
Broadway Vision World Optometrist Past Accepting new patients

Locations

7535 SW Barnes Rd
Ste 111
Portland, OR 97225
Phone (503) 764-9321

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1811026719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 SW BARNES RD",
            "address_2": "STE 111",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256269",
            "telephone_number": "503-297-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 MEADOWS RD",
            "address_2": "SUITE 151",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353398",
            "telephone_number": "503-684-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KATHERINE",
        "middle_name": "HESS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3123ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.