Organization Active NPI

Hillsboro Eye Clinic PC

  • Eyewear Supplier
  • Hillsboro, OR
National Provider Identifier
1821185588
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
HILLSBORO EYE CLINIC PC
Doing business as
Hillsboro Opticians
Practice address
512 E Main St
Hillsboro, OR 97123-4137
Phone
(503) 640-3708
Fax
(503) 693-0441
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
HILLSBORO EYE CLINIC, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Dr. Timothy L Gard, MD
Title
Physician
Phone
(503) 640-3708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OR Primary

Addresses

Primary practice location

512 E Main St
Hillsboro, OR 97123-4137

Mailing address

512 E Main St
Hillsboro, OR 97123-4137
Phone (503) 640-3708

Other identifiers 1

IdentifierTypeStateIssuer
223099MedicaidOR

Other names 1

  • Hillsboro Opticians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930088982 OR DME Supplier - Physician - OphthalmologyDME Supplier - Optician 2961499348 1 other NPI on this enrollment
Practice locations: Hillsboro, OR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hillsboro Opticians512 E Main St, Hillsboro, OR 97123-4137(503) 640-3708 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Hillsboro Opticians3 organizations share this tax ID, including this one
Part of
Hillsboro Opticians

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

512 E Main St
Hillsboro, OR 97123
Phone (503) 640-3708

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1821185588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234137",
            "telephone_number": "503-640-3708",
            "fax_number": "503-693-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234137",
            "telephone_number": "503-640-3708",
            "fax_number": "503-693-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO EYE CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLSBORO EYE CLINIC, PC",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "GARD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-640-3708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223099",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsboro Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.