East Portland Optical Service

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EAST PORTLAND OPTICAL SERVICE

Practice address

10819 SE Stark St
Suite 100
Portland, OR 97216-3161

Phone

(503) 255-2291

Fax

(503) 252-1797

NPI assigned

Nov 15, 2005

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald Frederick Plumb, MDNPI 1205818267

Title

Member/Manager

Phone

(503) 557-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Frederick Plumb, MD

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1205818267
  NPD (past) Authorized official

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1902888118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972692009",
            "telephone_number": "503-557-2020",
            "fax_number": "503-344-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10819 SE STARK ST",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163161",
            "telephone_number": "503-255-2291",
            "fax_number": "503-252-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PORTLAND OPTICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "PLUMB",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "503-557-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East City Dental
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• East Portland Pediatric Clinic, P.C.
• East Portland Peritoneal Dialysis Clinic, LLC (U.S. Renal Care East Portland Home Dialysis)
• East Portland Surgical Center LLC
• East Side Orthotics & Prosthetics, Inc.
• Adrienne East, LCSW

• Eyewear Supplier in Portland, OR
• Providers in Portland, OR by specialty
• Eyewear Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.