Raymond Roy Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1005T Issued in OR

Practice address

12955 NW Cornell Rd
Portland, OR 97229-5863

Phone

(503) 643-5556

Fax

(503) 641-2515

NPI assigned

Jan 22, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornell Eyecare Group, Inc

  • Optometrist
  • Portland, OR
  • NPI 1982758868
  NPD (past)
• Dr. Paul M. Wehner & Associates, PC

  • Optometrist
  • Portland, OR
  • NPI 1679600977
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1811041734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295863",
            "telephone_number": "503-643-5556",
            "fax_number": "503-641-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295863",
            "telephone_number": "503-643-5556",
            "fax_number": "503-641-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1005T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18428-3",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• France Emilie Roy, MD, FRCPC
• John F Roy
• Kamalika Roy, MD
• Kathleen Roy, LCSW,MSW,QMHP
• Madeleine Meg Roy
• Felicia Royce, LMT
• Sabra Marie Royer, ND
• Michael Charles Royse, D.M.D.
• Rebecca Royston
• Lisa Elizabeth Royter, MD

• 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 Sep 23, 2008; 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.