NPIMap

Organization Active NPI

Ogata Eyecare, PC

  • Optometrist
  • Tigard, OR
National Provider Identifier
1841378221
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1716T Issued in OR
Legal business name
OGATA EYECARE, PC
Practice address
9730 SW Washington Square Rd
Tigard, OR 97223-4453
Phone
(503) 624-0666
Fax
(503) 624-0959
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Dr. Dale E. Ogata, O.D.NPI 1114092269
Title
President
Phone
(503) 624-0666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1716T OR Primary

Addresses

Primary practice location

9730 SW Washington Square Rd
Tigard, OR 97223-4453

Mailing address

9730 SW Washington Square Rd
Tigard, OR 97223-4453
Phone (503) 624-0666

Other names 2

  • Ogata EyeCare, PC Doing business as
  • Dr Dale Ogata and Associates, PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000176 OR Part B Supplier - Clinic/Group Practice 2466351606 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Portland, OR; Tigard, OR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Dr Dale Ogata and Associates PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1841378221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 SW WASHINGTON SQUARE RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234453",
            "telephone_number": "503-624-0666",
            "fax_number": "503-624-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 SW WASHINGTON SQUARE RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234453",
            "telephone_number": "503-624-0666",
            "fax_number": "503-624-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGATA EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "OGATA",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-624-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1716T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ogata EyeCare, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr Dale Ogata and Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.