PACIFIC EYE GROUP, PC (NPI# 1063034148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063034148 |
| Entity Type | Organization |
| Organization Name | PACIFIC EYE GROUP, PC |
| Practice Address |
10104 Sw Washington Square Rd Spc A02 Tigard OR 97223-4457 |
| Mailing Address |
175 E Houston St San Antonio TX 78205-2255 |
| Practice Telephone | 5039685249 |
| Practice Fax Number | 5039685983 |
| Mailing Telephone | 7264444545 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | DOLSIE MCDONALD (CREDENTIALING MANAAGER) |
| Authorized Official Telephone | 7264444078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477175453 | Pacific Eye Group, PC | Optometrist | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005-1347 | 2020-05-12 |
| 1831730365 | Pacific Eye Group, PC | Optometrist | 8700 Ne Vancouver Mall Dr Ste 168, Vancouver, WA 98662-7922 | 2019-10-07 |
| 1609336916 | Pacific Eye Group, PC | Optometrist | 30020 Sw Boones Ferry Rd Ste 10, Wilsonville, OR 97070-8912 | 2019-03-22 |
| 1023575925 | Pacific Eye Group, PC | Optometrist | 1006 Lloyd Ctr, Portland, OR 97232-1266 | 2019-02-27 |
| 1275155350 | Pacific Eye Group, PC | Optometrist | 18070 Nw Evergreen Pkwy, Beaverton, OR 97006-7451 | 2020-05-12 |
| 1396367470 | Pacific Eye Group, PC | Optometrist | 1600 N Riverside Ave, Medford, OR 97501-4652 | 2020-05-12 |
| 1013562354 | Pacific Eye Group, PC | Optometrist | 12000 Se 82nd Ave Ste 2193, Happy Valley, OR 97086-7746 | 2019-08-05 |
| 1912467226 | Pacific Eye Group, PC | Optometrist | 970 Nw Eastman Pkwy, Gresham, OR 97030-5533 | 2019-03-22 |
| 1386101228 | Pacific Eye Group, PC | Optometrist | 63455 N Hwy 97 Ste 75, Bend, OR 97703-6761 | 2019-02-27 |
| 1831656925 | Pacific Eye Group, PC | Optometrist | 63455 N Hwy 97 Ste 75, Bend, OR 97703-6761 | 2019-02-25 |
| Street Address |
10104 SW WASHINGTON SQUARE RD SPC A02 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| 1295198885 | Deanna Olma | Optometrist | 10104 Sw Washington Square Rd, Tigard, OR 97223-4457 | 2016-03-31 |
| 1255619979 | Theresa A Mcadoo, Od, PC | Optometrist | 7855 Sw Dartmouth Street, Tigard, OR 97223-8401 | 2011-07-29 |
| 1780972778 | Tigard Vision World, P.C. | Optometrist | 9975 Sw Frewing St, Suite 130, Tigard, OR 97223-5091 | 2011-07-12 |
| 1518166933 | Dawne Rime Griffith | Optometrist | 7110 Sw Hazel Fern Rd., Suite 200, Tigard, OR 97224 | 2007-07-16 |
| 1821113127 | Richard L Zoller | Optometrist | 9800 Sw Washington Square Rd, Tigard, OR 97223-4455 | 2007-03-19 |
| 1750456802 | Sharon Lynn Hirata | Optometrist | 9730 Sw Washington Square Rd., Tigard, OR 97223 | 2006-11-22 |
| 1841378221 | Ogata Eyecare, PC | Optometrist | 9730 Sw Washington Square Rd, Tigard, OR 97223-4453 | 2006-11-01 |
| 1093898520 | Eric Scott Freedle | Optometrist | 7307 Sw Beveland Rd, Suite 100, Tigard, OR 97223-8831 | 2006-10-20 |
| 1710070222 | Jona Pradhan | Optometrist | 9225 Sw Hall Blvd Ste C, Tigard, OR 97223-6794 | 2006-10-02 |
| Find all providers in TIGARD | ||||
Please comment or provide details below to improve the information on PACIFIC EYE GROUP, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.