Organization Active NPI

Kat Eye Corporation

  • Optometrist
  • Gresham, OR
National Provider Identifier
1922715291
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KAT EYE CORPORATION
Practice address
1201 SE 223Rd Ave Ste 160
Gresham, OR 97030-2577
Phone
(503) 492-2020
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Dr. Anthony J Turin, ODNPI 1861635328
Title
Owner
Phone
(503) 492-2020

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1201 SE 223Rd Ave Ste 160
Gresham, OR 97030-2577

Mailing address

1201 SE 223Rd Ave Ste 160
Gresham, OR 97030-2577
Phone (503) 492-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230324000851 OR Part B Supplier - Clinic/Group Practice 6901270412 Receives reassigned benefits from 5 practitioners
Practice locations: Gresham, OR

National Provider Directory

National Provider Directory

Locations

1201 SE 223rd Ave
Ste 160
Gresham, OR 97030
Phone (503) 492-2020

21825 SE Stark St
Ste B
Gresham, OR 97030
Phone (503) 492-2020

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1922715291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE STE 160",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302577",
            "telephone_number": "503-492-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE STE 160",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302577",
            "telephone_number": "503-492-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAT EYE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "TURIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-492-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.