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Active NPI 1619086550 Organization (Entity Type 2) Subpart Facility

Oregon Eye Specialists

Eyewear Supplier • Gresham, OR

Parent Organization: Oregon Eye Specialists Pc

About Oregon Eye Specialists NPI 1619086550 Summary

Oregon Eye Specialists is a verified healthcare organization specializing in Eyewear Supplier operating in Gresham, OR. Located at 1380 E POWELL BLVD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1619086550.

Oregon Eye Specialists operates as a subpart facility of Oregon Eye Specialists Pc. Administrative operations and authorized compliance are overseen by Teri Thurston (Billing Manager).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1380 E Powell Blvd

Gresham, OR 970308004

Telephone 5034924128

Fax 5034924107

Authorized Official Information

Authorized Contact Name

Teri Thurston

Title / Role

Billing Manager

Official Telephone

5039355564

Facility Classifications & Specialties

Eyewear Supplier Primary Taxonomy

NUCC Taxonomy Code: 332H00000X

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Dr. Joseph An , OD NPI 1235271511

Optometrist

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active May 22, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 22, 2013

Registered at 1380 E POWELL BLVD, GRESHAM, OR 970308004 (Tel: 5034924128)

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Updated Business Mailing Address May 22, 2013

Registered at 6420 SW MACADAM AVE, SUITE 216, PORTLAND, OR 972393507 (Tel: 5032448601)

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Organization / Clinic Name Updated May 22, 2013

Operating as OREGON EYE SPECIALISTS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2013

Eyewear Supplier

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Initial NPI Registration & Enumeration August 30, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1619086550

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: August 30, 2006

Last Update: May 22, 2013

Update or Correct Listing

Mailing Address

6420 Sw Macadam Ave, Suite 216

Portland, OR 972393507

Phone: 5032448601

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.