Active NPI
Mt Scott Vision and Ocular Imaging Center PC
- Corneal and Contact Management Optometrist
- Happy Valley, OR
National Provider Identifier
1962641654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3003AIT
- Legal business name
- MT SCOTT VISION AND OCULAR IMAGING CENTER PC
- Practice address
- 9300 NE 91St Ave
Suite 100
Happy Valley, OR 97086 - Phone
- (503) 652-1479
- Fax
- (503) 652-1690
- NPI assigned
- Feb 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert D Forbes, O.D.
- Title
- President
- Phone
- (503) 250-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3003AIT | OR | Primary |
Addresses
Primary practice location
9300 NE 91St Ave
Suite 100
Happy Valley, OR 97086
Mailing address
11002 NE 102ND Ave
Vancouver, WA 98662-1584
Phone (503) 652-1479
National Provider Directory
National Provider DirectoryLocations
9300 SE 91st Ave
Ste 100
Happy Valley, OR 97086
Phone (503) 652-1479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1962641654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11002 NE 102ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986621584",
"telephone_number": "503-652-1479",
"fax_number": "503-652-1690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 NE 91ST AVE",
"address_2": "SUITE 100",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "97086",
"telephone_number": "503-652-1479",
"fax_number": "503-652-1690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT SCOTT VISION AND OCULAR IMAGING CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-19",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "FORBES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-250-0040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OR",
"license": "3003AIT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.