CENTER FOR OCULAR PROSTHETICS LLC (NPI# 1083994867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083994867 |
| Entity Type | Organization |
| Organization Name | CENTER FOR OCULAR PROSTHETICS LLC |
| Other Organization Name | FREDRIC M HARWIN |
| Practice Address |
2525 Nw Lovejoy St Ste 306 Portland OR 97210-2864 |
| Practice Telephone | 5032298490 |
| Practice Fax Number | 5032240740 |
| Mailing Telephone | 5032298490 |
| Mailing Fax Number | 5032240740 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-03-27 |
| Authorized Official Name | CHRISTINA KING (OCULARIST/OWNER) |
| Authorized Official Telephone | 5032298490 |
| Authorized Official Credential | BCO BADO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
51680289 | OR | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 516802-89 | OR | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
149 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500605356 | 05 | |
| OR | REGENCE BCBS | 01621900001 | 01 |
| OR | REGENCE BCBS DME SUPPLIER | 01621900001 | 01 |
| Other Name | Type Code |
|---|---|
| Christina King | Doing Business As Name - Organization |
| Fredric M Harwin | Former Legal Business Name - Organization |
| Fredric M. Harwin, MSc BCO | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR OCULAR PROSTHETICS LLC | 2525 Nw Lovejoy St Ste 306, Portland, OR 97210-2864 |
| Street Address |
2525 NW LOVEJOY ST STE 306 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-2864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022587 | Irvin Lewis Handelman | Ophthalmology | 2525 Nw Lovejoy St, Ste 100, Portland, OR 97210-2861 | 2005-06-13 |
| 1356832661 | Genesis Renee Helms | Physical Therapist | 2525 Nw Lovejoy St, Ste 202, Portland, OR 97210-2863 | 2018-05-22 |
| 1023473196 | Kerry Gould | Acupuncturist | 2525 Nw Lovejoy St, Ste 202, Portland, OR 97210-2859 | 2015-12-16 |
| 1154709137 | Right As Rain Chiropractic LLC | Chiropractor | 2525 Nw Lovejoy St, Suite 202, Portland, OR 97210-2859 | 2015-05-11 |
| 1841689551 | Jeremy Matthew Ryan Katz | Chiropractor | 2525 Nw Lovejoy St, Portland, OR 97210-2859 | 2015-01-19 |
| 1821420803 | Bryan Lang | Physical Therapist | 2525 Nw Lovejoy St, 205, Portland, OR 97210-2859 | 2013-08-01 |
| 1306191663 | Justine Cosman | Physical Therapist | 2525 Nw Lovejoy St, Suite 205, Portland, OR 97210-2859 | 2012-07-23 |
| 1043592421 | Sarah Stewart Hoagland | Counselor | 2525 Nw Lovejoy St, Suite 407, Portland, OR 97210-2859 | 2011-09-13 |
| 1790012698 | Medical Evaluations of Oregon-washington | Legal Medicine | 2525 Nw Lovejoy St, Suite 400, Portland, OR 97210-2859 | 2009-11-12 |
| 1073770707 | Apurva K Patel | Ophthalmology | 2525 Nw Lovejoy St, Suite 100, Portland, OR 97210-2859 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689199317 | Christina King | Technician/Technologist | 2525 Nw Lovejoy St Ste 306, Portland, OR 97210-2864 | 2017-08-03 |
| 1982106548 | Boston Ocular Prosthetics Inc | Technician/Technologist | 15 Lowell St, Portland, ME 04102-2726 | 2018-02-28 |
| 1689669624 | Fredric M Harwin | Technician/Technologist | 2525 Nw Lovejoy St, Ste 306, Portland, OR 97210-2859 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457579468 | Donald Allen Burress | Technician/Technologist | 711 Ne Hood Ave, Gresham, OR 97030-5612 | 2007-04-23 |
| 1801988373 | Maureen Maloney-schou | Technician/Technologist | 4035 Mercantile Dr Ste 208, Lake Oswego, OR 97035-2591 | 2006-09-29 |
| 1649379280 | Kevin Schou | Technician/Technologist | 1800 Valley River Dr Ste 300, Eugene, OR 97401-6720 | 2006-09-21 |
| 1043360977 | Maloney's Custom Ocular Prosthetics, Inc. | Technician/Technologist | 4035 Mercantile Dr Ste 208, Lake Oswego, OR 97035-2591 | 2007-01-11 |
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| 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.