Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699808931 Individual Practitioner Male Practitioner

Dr. Kenneth James Erdman , OD

Optometrist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Erdman, OD is a registered healthcare professional specializing in Optometrist in Portland, OR. Practice services are available at 12300 SE 82ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12300 Se 82nd Ave
Jcpenney Optical

Portland, OR 972667717

Telephone 5036535935
Associated Practice Facility / Clinic
🏢 Usv Optical Inc Facility NPI 1770505752

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
230 Specialists

Practicing in Portland, OR (975 Statewide)

Telehealth Adoption Rate
0.4% 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

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR 2989T

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Eyemed
075 0553367 (OR)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1134429970

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12300 SE 82ND AVE, JCPENNEY OPTICAL, PORTLAND, OR 972667717 (Tel: 5036535935)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5722 NW 203RD PL, PORTLAND, OR 972297187

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH ERDMAN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2989T in OR)

🟢
Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kenneth Erdman. Be the first to share your experience!

Sign in to leave a review for Dr. Kenneth Erdman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1699808931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5722 Nw 203rd Pl

Portland, OR 972297187

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.