Randall K Corey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1035T Issued in OR

Practice address

1517 SW Marlow Ave
Portland, OR 97225-5101

Phone

(503) 292-5221

Fax

(503) 297-3937

NPI assigned

Jun 10, 2006

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

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.

• Cedar Hills Vision Clinic Inc

  • Optometrist
  • Portland, OR
  • NPI 1417130030
  NPD (past)
• Kirk Parker OD P C

  dba Cedar Hills Vision Clinic

  • Optometrist
  • Portland, OR
  • NPI 1700833209
  NPD (past)
• North Portland Optical

  • Contact Lens Technician/Technologist
  • Portland, OR
  • NPI 1215073267

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1831130566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 SW MARLOW AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255101",
            "telephone_number": "503-292-5221",
            "fax_number": "503-297-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 SW MARLOW AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255101",
            "telephone_number": "503-292-5221",
            "fax_number": "503-297-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "RANDALL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1035T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corehealth Behavioral Health
• Rebecca Coren, LPC
• Emily Ardis Coreson
• Kelsey Corey, LCSW
• Kevin Ryan Corey, DO
• Elizabeth Ann Coria Mead, MS , SLP
• Michelle Coriell, CRM
• Isabella Heather Leigh Corigliano-Martin
• Behailu David Corkern
• Tanya Corkum, LPC ASSOCIATE

• 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 Nov 21, 2007; 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.