Individual provider Active NPI

Serena M Cox, OD

  • Optometrist
  • Tualatin, OR
National Provider Identifier
1982914420
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AT4649 Issued in OR
Practice address
7016 SW Nyberg St
Tualatin, OR 97062-9231
Phone
(503) 692-2020
Fax
(503) 629-8421
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002428 PA
Optometrist 152W00000X 15454 CA
Optometrist 152W00000X AT4649 OR Primary

Addresses

Primary practice location

7016 SW Nyberg St
Tualatin, OR 97062-9231

Mailing address

11557 NW Pinyon St
Portland, OR 97229-7508
Phone (407) 625-9451

Other practice location 1

1775 NE Cesar E Chavez Blvd
Portland, OR 97212-5322
Phone (503) 288-6181

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230703001541 OR Practitioner - Optometry 0143407619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
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)

1775 NE Cesar E Chavez Blvd
Portland, OR 97212-5322
Phone (503) 288-6181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15454CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoban Vision, Inc. Optometrist CurrentSince Sep 29, 2023 Accepting new patients
Eyestyles LLC CurrentSince May 23, 2023 Accepting new patients
Carole L. Hong OD Inc. Optometrist PastSince Mar 1, 2019 Accepting new patients
Carole L. Hong & Kristina Stasko, PTRS Past Accepting new patients

Locations

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

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

1775 NE Cesar E Chavez Blvd
Portland, OR 97212
Phone (503) 288-6181

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

7016 SW Nyberg St
Tualatin, OR 97062
Phone (503) 692-2020

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1982914420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11557 NW PINYON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297508",
            "telephone_number": "407-625-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 SW NYBERG ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629231",
            "telephone_number": "503-692-2020",
            "fax_number": "503-629-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 NE Cesar E Chavez Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972125322",
            "country_code": "US",
            "telephone_number": "503-288-6181",
            "fax_number": "503-288-7690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "SERENA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002428",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15454",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "AT4649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.