Tualatin Eye Associates PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1813ATI Issued in OR

Legal business name

TUALATIN EYE ASSOCIATES PC

Practice address

18801 SW Boones Ferry
Tualatin, OR 97062

Phone

(503) 692-3500

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Craig E Bowen, ODNPI 1396814091

Title

Ceo

Phone

(503) 692-3500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Craig E Bowen, OD

  • Vision Therapy Optometrist
  • Tualatin, OR
  • NPI 1396814091
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1861746331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18801 SW BOONES FERRY",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18801 SW BOONES FERRY",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-692-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUALATIN EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-692-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "1813ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True Health Medicine, PC
• Nancy Phung Truong
• Don Tsukamaki
• Tualatin Chiropractic & Naturopathic Clinic P C
• Tualatin Dental Care, P.C.
• Tualatin Imaging P C
• Tualatin Internal Medicine
• Tualatin Medical Suppplies
• Tualatin Modern Dentistry,PC
• Tualatin Pediatric Dentistry

• Clinic/Center in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.