Active NPI
Barnes Elite Eye Care, P.C.
- Optometrist
- Portland, OR
National Provider Identifier
1902296817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3134AT
- Legal business name
- BARNES ELITE EYE CARE, P.C.
- Practice address
- 11750 SW Barnes Rd Ste 120
Portland, OR 97225-5911 - Phone
- (503) 646-5194
- Fax
- (503) 646-9390
- NPI assigned
- Jan 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Schissler
- Title
- Office Manager
- Phone
- (503) 646-5194
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3134AT | OR | Primary |
Addresses
Primary practice location
11750 SW Barnes Rd Ste 120
Portland, OR 97225-5911
Mailing address
11750 SW Barnes Rd Ste 120
Portland, OR 97225-5911
Phone (503) 646-5194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Barnes Elite Eye Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Portland, OR
- NPI 1245496454
-
- Optometrist
- Beaverton, OR
- NPI 1003475625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1902296817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11750 SW BARNES RD STE 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255911",
"telephone_number": "503-646-5194",
"fax_number": "503-646-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 SW BARNES RD STE 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255911",
"telephone_number": "503-646-5194",
"fax_number": "503-646-9390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARNES ELITE EYE CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-30",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "SCHISSLER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "503-646-5194"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OR",
"license": "3134AT",
"primary": true
}
],
"identifiers": [],
"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 Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.