Active NPI
Olesya Viestenz
- Optometrist
- Tigard, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3521ATI
- Practice address
- 7485 SW Bridgeport Rd
Tigard, OR 97224-7207 - Phone
- (503) 495-5821
- NPI assigned
- Oct 6, 2010
- Last updated
- May 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3521ATI | OR | Primary |
Addresses
Primary practice location
7485 SW Bridgeport Rd
Tigard, OR 97224-7207
Mailing address
7485 SW Bridgeport Rd
Tigard, OR 97224-7207
Phone (503) 495-5821
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3521ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Focus Northwest LLC | Optometrist | Current | Accepting new patients |
| Converge Neuro Optometry LLC | Optometrist | Current | Accepting new patients |
| JD Harris PC | Optometrist | Current | Accepting new patients |
| Broadway Vision World | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
11020 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005
Phone (503) 223-6655
3816 Center St NE
Salem, OR 97301
Phone (503) 581-9088
9975 SW Frewing St
Ste 130
Tigard, OR 97223
Phone (503) 906-3596
Organizations & group practices 5
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.
-
- Optometrist
- Salem, OR
- NPI 1033401062
-
- Optometrist
- Tigard, OR
- NPI 1427919729
-
- Optometrist
- Portland, OR
- NPI 1295915700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1841509924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7485 SW BRIDGEPORT RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247207",
"telephone_number": "503-495-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7485 SW BRIDGEPORT RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247207",
"telephone_number": "503-495-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIESTENZ",
"first_name": "OLESYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-06",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3521ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.