Individual provider Active NPI

Anthony James Turin

  • Optometrist
  • Sandy, OR
National Provider Identifier
1861635328
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3371ATI Issued in OR
Practice address
36840 SE Industrial Way Ste D
Sandy, OR 97055
Phone
(503) 482-0475
NPI assigned
Apr 14, 2009
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X EOG002449 PA
Optometrist 152W00000X 3371ATI OR Primary

Addresses

Primary practice location

36840 SE Industrial Way Ste D
Sandy, OR 97055

Mailing address

36840 Industrial Way Ste D
Sandy, OR 97055-9254
Phone (503) 482-0475

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140904000811 OR Practitioner - Optometry 3274759162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kat Eye CorporationGroup PAC ID 6901270412, 3 clinicians
Mt Hood Eye Care CorporationGroup PAC ID 4486870375, 2 clinicians

Practice addresses (Care Compare)

21825 SE Stark St
Suite B
Gresham, OR 97030-2075
Phone (503) 492-2020

36840 Industrial Way
Suite D
Sandy, OR 97055-9254
Phone (503) 482-0475

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3371ATIORMDOptometrist
EOG002449PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Vision Corporation Optometrist CurrentSince Sep 3, 2020 Accepting new patients
Kat Eye Corporation Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Mt. Hood Eye Care Corporation Optometrist CurrentSince Apr 1, 2014 Accepting new patients
Cascade Vision Center Inc. Optometrist Past Accepting new patients

Locations

2474 SE Burnside Rd
Gresham, OR 97080
Phone (402) 366-8402

21825 SE Stark St
Ste B
Gresham, OR 97030
Phone (503) 492-2020

36840 Industrial Way
Ste D
Sandy, OR 97055
Phone (503) 482-0475

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1861635328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36840 INDUSTRIAL WAY STE D",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559254",
            "telephone_number": "503-482-0475",
            "fax_number": "503-482-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36840 SE INDUSTRIAL WAY STE D",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "97055",
            "telephone_number": "503-482-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURIN",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "EOG002449",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3371ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

Verify at the official NPI Registry.