Individual provider Active NPI

Arige Nohad

  • Optometrist
  • Corvallis, OR
National Provider Identifier
1982956223
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3642ATI Issued in OR
Practice address
4629 NW Acacia Dr
Corvallis, OR 97330-3198
Phone
(541) 223-2326
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3642ATI OR Primary

Addresses

Primary practice location

4629 NW Acacia Dr
Corvallis, OR 97330-3198

Mailing address

1505 NW Harrison Blvd
Corvallis, OR 97330-5816
Phone (541) 754-6222

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
I20151117000969 OR Practitioner - Optometry 8527378868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3642ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Group, PC Optometrist CurrentSince Jan 20, 2021 Accepting new patients
Optimeyes Past Accepting new patients

Locations

63455 N Highway 97
Ste 75
Bend, OR 97703
Phone (541) 388-7906

970 NW Eastman Pkwy
Gresham, OR 97030
Phone (503) 666-7460

Organizations & group practices 2

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1982956223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NW HARRISON BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305816",
            "telephone_number": "541-754-6222",
            "fax_number": "541-359-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 NW ACACIA DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303198",
            "telephone_number": "541-223-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOHAD",
        "first_name": "ARIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3642ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.