Jonathan T Bloemers, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ATI4548 Issued in OR

Practice address

226 E Historic Columbia River Hwy
Troutdale, OR 97060-2069

Phone

(503) 492-3897

NPI assigned

Oct 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoban Vision IncGroup PAC ID 2365877586, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hoban Vision, Inc.

  • Optometrist
  • Portland, OR
  • NPI 1285271551

  OR

  Medicare reassignment Care Compare group
• Atlas Eye Group LLC

  • Optometrist
  • Portland, OR
  • NPI 1376903328
  NPD
• Atlas Eye Group LLC

  • Optometrist
  • Troutdale, OR
  • NPI 1811438286
  NPD

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1972102796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E HISTORIC COLUMBIA RIVER HWY",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970602069",
            "telephone_number": "503-492-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E HISTORIC COLUMBIA RIVER HWY",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970602069",
            "telephone_number": "503-492-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEMERS",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Attentive Counseling
• Diana Gabriela Barajas Lopez, RDH EPDH
• Meghan Ellen Revoir Bennett, N.D.
• Jonathan D Benton, DO
• Emily C Bier, M.D.
• Emily Barbara Boggess, DC
• Andrez Borja
• Nicole Brecken, R.N.
• Sharon Brennan, FNP
• Janie R Brickell, RDH

• Optometrist in Troutdale, OR
• Providers in Troutdale, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.