Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871509653 Individual Practitioner Male Practitioner

Dr. Ezra Atikune , OD

Optometrist • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Ezra Atikune, OD is a registered healthcare professional specializing in Optometrist in Beaverton, OR. Practice services are available at 12370 SW 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12370 Sw 1st St

Beaverton, OR 970052847

Telephone 5036443614
Fax 8339900102
Associated Practice Facility / Clinic
🏢 David R. Mcbride, Od Facility NPI 1346428711

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
30 Specialists

Practicing in Beaverton, OR (975 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-21
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR 3344AT

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IL 046-009105

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1053303495

Doctor of Optometry

Shaina Sullivan

Optometrist

NPI 1730644790

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 21, 2026

Registered at 12370 SW 1ST ST, BEAVERTON, OR 970052847 (Tel: 5036443614)

📍
Updated Business Mailing Address April 21, 2026

Registered at 12370 SW 1ST ST, BEAVERTON, OR 970052847 (Tel: 5036443614)

NPI Profile Active March 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2011

Registered at 3838 N MISSISSIPPI AVE, OPTIK PDX, PORTLAND, OR 972271161 (Tel: 5032063937)

📍
Updated Business Mailing Address March 26, 2011

Registered at 3838 N MISSISSIPPI AVE, OPTIK PDX, PORTLAND, OR 972271161 (Tel: 5032063937)

👤
Provider Name / Credentials Updated March 26, 2011

Recorded as EZRA ATIKUNE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2011

Optometrist (License #3344AT in OR)

🟢
Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871509653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: April 21, 2026
Sole Proprietor: No

Mailing Address

12370 Sw 1st St

Beaverton, OR 970052847

Phone: 5036443614

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.