Organization Active NPI

West Hills Vision Care, LLC

  • Optometrist
  • Portland, OR
National Provider Identifier
1922397975
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3123ATI Issued in OR
Legal business name
WEST HILLS VISION CARE, LLC
Practice address
7535 SW Barnes Rd Ste 111
Portland, OR 97225-6269
Phone
(503) 764-9321
Fax
(503) 974-2015
NPI assigned
Mar 30, 2011
Last updated
Mar 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dr. Katherine PhillipsNPI 1811026719
Title
Owner
Phone
(503) 764-9321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3123ATI OR Primary

Addresses

Primary practice location

7535 SW Barnes Rd Ste 111
Portland, OR 97225-6269

Mailing address

7535 SW Barnes Rd Ste 111
Portland, OR 97225-6269
Phone (503) 764-9321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110930000139 OR Part B Supplier - Clinic/Group Practice 0749452449 Receives reassigned benefits from 3 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

7535 SW Barnes Rd
Ste 111
Portland, OR 97225
Phone (503) 764-9321

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1922397975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 SW BARNES RD STE 111",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256269",
            "telephone_number": "503-764-9321",
            "fax_number": "503-974-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 SW BARNES RD STE 111",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256269",
            "telephone_number": "503-764-9321",
            "fax_number": "503-974-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HILLS VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-764-9321",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3123ATI",
            "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 Mar 30, 2011; 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.

Verify at the official NPI Registry.