NPIMap

Organization Active NPI

Gateway Eye Clinic, P.C.

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1851585038
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GATEWAY EYE CLINIC, P.C.
Practice address
10502 NE Wasco St
Portland, OR 97220-3948
Phone
(503) 252-2467
Fax
(503) 252-0670
NPI assigned
Aug 30, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Robert J Chestler, M.D.NPI 1841286366
Title
President
Phone
(503) 252-2467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

10502 NE Wasco St
Portland, OR 97220-3948

Mailing address

10502 NE Wasco St
Portland, OR 97220-3948
Phone (503) 252-2467

Other identifiers 1

IdentifierTypeStateIssuer
013545MedicaidOR

National Provider Directory

National Provider Directory

Locations

10502 NE Wasco St
Portland, OR 97220
Phone (503) 252-2467

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1851585038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 NE WASCO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203948",
            "telephone_number": "503-252-2467",
            "fax_number": "503-252-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 NE WASCO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203948",
            "telephone_number": "503-252-2467",
            "fax_number": "503-252-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY EYE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "CHESTLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-252-2467",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013545",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.