NPIMap

Organization Active NPI

Carkner Family Vision Center

  • Optometrist
  • Portland, OR
National Provider Identifier
1962584441
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CARKNER FAMILY VISION CENTER
Practice address
1775 North East 39TH Avenue
Portland, OR 97212-5322
Phone
(503) 288-6181
Fax
(503) 288-7690
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Jeffry M Carkner, O.DNPI 1891885612
Title
Optometrist
Phone
(503) 288-6181

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X OR Primary

Addresses

Primary practice location

1775 North East 39TH Avenue
Portland, OR 97212-5322

Mailing address

1775 North East 39 TH Avenue
Portland, OR 97212-5322
Phone (503) 288-6181

National Provider Directory

National Provider Directory

Locations

19300 SW Boones Ferry Rd
Ste 1D
Tualatin, OR 97062
Phone (503) 692-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1962584441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 NORTH EAST 39 TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125322",
            "telephone_number": "503-288-6181",
            "fax_number": "503-288-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 NORTH EAST 39TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125322",
            "telephone_number": "503-288-6181",
            "fax_number": "503-288-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARKNER FAMILY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "CARKNER",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "503-288-6181",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": null,
            "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 Jan 10, 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.