Ezra Atikune, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3344AT Issued in OR

Practice address

12370 SW 1St St
Beaverton, OR 97005-2847

Phone

(503) 644-3614

Fax

(833) 990-0102

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ezra.atikune@uprisedirect.com

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1871509653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 SW 1ST ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052847",
            "telephone_number": "503-644-3614",
            "fax_number": "833-990-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12370 SW 1ST ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052847",
            "telephone_number": "503-644-3614",
            "fax_number": "833-990-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIKUNE",
        "first_name": "EZRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3344AT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Alexander Assasnik, LCSW
• At Healthcare Holdings Inc.
• Jason Atack, DMD
• Ioanna G Athanasakis
• Athena Arris LLC
• Atlantis Caregiving Corporation
• Shelby Atwill, AUD
• Kaitlin Hope Mengyin Atwood
• Jordan Nadine Denny Aul
• Auralcare Hearing Centers of America, LLC

• Optometrist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.

Verify at the official NPI Registry.