Organization Active NPI

Mt Scott Vision and Ocular Imaging Center PC

  • Corneal and Contact Management Optometrist
  • Happy Valley, OR
National Provider Identifier
1962641654
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3003AIT Issued in OR
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

Updated by the provider on May 13, 2009

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)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.