NPIMap

Organization Active NPI

Teplick Laser Surgery Centers

  • Specialist
  • Beaverton, OR
National Provider Identifier
1851421085
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD19317 Issued in OR
Legal business name
TEPLICK LASER SURGERY CENTERS
Practice address
9975 SW Nimbus Ave
Beaverton, OR 97008-7150
Phone
(503) 520-0800
Fax
(503) 520-0403
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
M'Liss A Spangler
Title
Business Administrator
Phone
(503) 520-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD19317 OR Primary

Addresses

Primary practice location

9975 SW Nimbus Ave
Beaverton, OR 97008-7150

Mailing address

9975 SW Nimbus Ave
Beaverton, OR 97008-7150
Phone (503) 520-0800

Other names 1

  • Center for Sight Former legal business name

National Provider Directory

National Provider Directory

Locations

9975 SW Nimbus Ave
Beaverton, OR 97008
Phone (503) 520-0800

9989 SW Nimbus Ave
Beaverton, OR 97008
Phone (503) 520-0800

Practitioners & affiliated clinicians

Practitioners 8

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1851421085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 SW NIMBUS AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087150",
            "telephone_number": "503-520-0800",
            "fax_number": "503-520-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 SW NIMBUS AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087150",
            "telephone_number": "503-520-0800",
            "fax_number": "503-520-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEPLICK LASER SURGERY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "SPANGLER",
        "authorized_official_first_name": "M'LISS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "503-520-0800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD19317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Sight",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.