Organization Active NPI

Eyestyles LLC

  • Eyewear Supplier
  • Portland, OR
National Provider Identifier
1972835882
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
00004340 Issued in OR
Legal business name
EYESTYLES LLC
Practice address
7367 SW Bridgeport Rd
Portland, OR 97224-7710
Phone
(503) 372-5013
Fax
(503) 430-0951
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Christopher ThorslandNPI 1740405562
Title
OD/Owner
Phone
(503) 372-5013

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
Eyewear Supplier 332H00000X 00004340 OR Primary

Addresses

Primary practice location

7367 SW Bridgeport Rd
Portland, OR 97224-7710

Mailing address

7367 SW Bridgeport Rd
Portland, OR 97224-7710
Phone (503) 372-5013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316001043 OR Part B Supplier - Clinic/Group Practice 9537294574 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

7144 SW Hazel Fern Rd
Portland, OR 97224

4441 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 775-4550

2383 NW Thurman St
Portland, OR 97210
Phone (503) 227-0022

Practitioners & affiliated clinicians

Practitioners 4

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": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1972835882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7367 SW BRIDGEPORT RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247710",
            "telephone_number": "503-372-5013",
            "fax_number": "503-430-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7367 SW BRIDGEPORT RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247710",
            "telephone_number": "503-372-5013",
            "fax_number": "503-430-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESTYLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "THORSLAND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "503-372-5013"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OR",
            "license": "00004340",
            "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 Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.