NPIMap

Organization Active NPI

Heritage Vision Center, PC

  • Optometrist
  • Aloha, OR
National Provider Identifier
1972637460
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HERITAGE VISION CENTER, PC
Practice address
20 NW 185TH Ave
Aloha, OR 97006-3507
Phone
(503) 629-5200
Fax
(503) 629-0419
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Dr. Jacquelyn M. Delplanche, O.D.NPI 1497889067
Title
President
Phone
(503) 629-5200

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 Primary

Addresses

Primary practice location

20 NW 185TH Ave
Aloha, OR 97006-3507

Mailing address

20 NW 185TH Ave
Aloha, OR 97006-3507
Phone (503) 629-5200

Other names 1

  • Heritage Vision Center Former legal business name

National Provider Directory

National Provider Directory

Locations

20 NW 185th Ave
Beaverton, OR 97006
Phone (503) 629-5200

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1972637460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NW 185TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063507",
            "telephone_number": "503-629-5200",
            "fax_number": "503-629-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NW 185TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063507",
            "telephone_number": "503-629-5200",
            "fax_number": "503-629-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "DELPLANCHE",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-629-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Vision Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.