Individual provider Active NPI

Caroline Marie Ooley, O.D.

  • Optometrist
  • Portland, OR
National Provider Identifier
1902245574
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3496ATI Issued in OR
Practice address
10510 SW Butner Rd Apt 2
Portland, OR 97225-5236
Phone
(858) 401-2100
NPI assigned
Jun 17, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3496ATI OR Primary

Addresses

Primary practice location

10510 SW Butner Rd Apt 2
Portland, OR 97225-5236

Mailing address

10510 SW Butner Rd Apt 2
Portland, OR 97225-5236

Other names 1

  • Ms. Caroline Marie Slagle Former name

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
I20130814000900 OR Practitioner - Optometry 5395987796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific University Optometrist Current Accepting new patients
Pacific University Optometrist CurrentSince Jul 1, 2013 Accepting new patients
Pacific University CurrentSince Jul 1, 2013 Accepting new patients
Pacific University Optometrist Past Accepting new patients
Pacific University Optometrist Past Accepting new patients

Locations

1151 N Adair St
Ste 104
Cornelius, OR 97113
Phone (503) 352-8543

2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020

222 SE 8th Ave
#212
Hillsboro, OR 97123
Phone 5033522400 ext. 8060

222 SE 8th Ave
Ste 114
Hillsboro, OR 97123
Phone (503) 352-7300

1411 SW Morrison St
Ste 310
Portland, OR 97205

Interoperability endpoints

  • Direct secure messaging: cooley315808@direct.ochin.org

Organizations & group practices 5

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1902245574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 SW BUTNER RD APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 SW BUTNER RD APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255236",
            "telephone_number": "858-401-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOLEY",
        "first_name": "CAROLINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3496ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "SLAGLE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.