Wayne L Gerig, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1478AT Issued in OR

Practice address

10225 SW Hall Blvd
Suite101
Tigard, OR 97223-8855

Phone

(503) 244-1004

Fax

(503) 244-1006

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oregon Optometry and Contact Lenses LLC

  • Optometrist
  • Tigard, OR
  • NPI 1104500651
  NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1922067701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 SW HALL BLVD",
            "address_2": "SUITE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238855",
            "telephone_number": "503-244-1004",
            "fax_number": "503-244-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 SW HALL BLVD",
            "address_2": "SUITE101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238855",
            "telephone_number": "503-244-1004",
            "fax_number": "503-244-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERIG",
        "first_name": "WAYNE",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1478AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283135",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer George, PT
• Marissa George
• Melody Sue George, LCSW
• Kassandra Gerads
• Paul Gerhards, LMT
• Wendy Gerkman
• Brianne Laurel Gerondale
• Jacki Gethner, LMT CADC1
• Emily Ann Geyen, PA-C
• Connie Francis Gibson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.