Active NPI
Serena M Cox, OD
- Optometrist
- Tualatin, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AT4649
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1775 NE Cesar E Chavez Blvd
Portland, OR 97212-5322
Phone (503) 288-6181
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15454 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoban Vision, Inc. | Optometrist | Current | Accepting new patients |
| Eyestyles LLC | Current | Accepting new patients | |
| Carole L. Hong OD Inc. | Optometrist | Past | 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.
-
- Optometrist
- Portland, OR
- NPI 1285271551
-
- Eyewear Supplier
- Portland, OR
- NPI 1972835882
-
- Corneal and Contact Management Optometrist
- San Carlos, CA
- NPI 1891976262
-
- Optometrist
- San Carlos, CA
- NPI 1952847352
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.