ETOSHA C FEGAN


Address: 2100 Nw Allie Ave # 440, Hillsboro, OR 97124-9079
Phone: 5036901856

ETOSHA C FEGAN (NPI# 1275996894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275996894
Entity Type Individual
Full Name ETOSHA C FEGAN
Credential OD
Practice Address 2100 Nw Allie Ave # 440
Hillsboro
OR 97124-9079
Practice Telephone 5036901856
Mailing Telephone 5036901856
Enumeration Date 2016-03-31
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 4311-ATI OR Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2326 Nw Amberbrook Dr, Beaverton, OR 970066952 5034662966
5370 Nw Innisbrook Pl, Portland, OR 972291906 4065294798

Office Location

Street Address 2100 NW ALLIE AVE # 440
City HILLSBORO
State OR
Zip Code 97124-9079

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538705322 Pamela Anne Martin Registered Nurse 2875 Nw Stucki Pl, Hillsboro, OR 97124 2019-11-27
1912548892 Donnia Mae Schwarz Behavior Technician 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 2019-10-02
1609305036 Catherine Lydon Registered Nurse 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 2017-06-08
1376092163 Michael Han Pharmacist 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 2016-09-22
1760868459 Voices Set Free Community/Behavioral Health 254 North 1st Ave., Hillsboro, OR 97124 2015-08-04
1871980151 Kevin Kar Fai Cheng Dentist 7206 Ne Cornell Rd, Hillsboro, OR 97124 2015-04-23
1336530047 Maegan Lee Mcglone Behavioral Analyst 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 2015-02-17
1588095772 Hillsboro Modern Dentistry, PC Dentist 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 2013-12-12
1275977043 Dana Hazell Massage Therapist 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 2013-04-24
1679816771 Candice May Doyle Massage Therapist 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 2013-03-27
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275156432 Laura Andre Optometrist 925 W. Main Street, Hillsboro, OH 45133 2020-05-22
1619428737 Jlee Optometry, LLC Optometrist 6495 Se Tv Hwy Ste C, Hillsboro, OR 97123-8273 2016-10-24
1689025678 Katherine A. Ruecker, O.d, & Associates, P.C. Optometrist 2100 Nw Allie Ave, Hillsboro, OR 97124-9079 2016-06-30
1417243874 Wesley Dennis Crockett Optometrist 7515 Se Tualatin Valley Hwy, Hillsboro, OR 97123-8252 2011-06-23
1477783694 Prairie Eye Center Ltd Optometrist 200 E Mechanic St, Hillsboro, IL 62049-2007 2009-07-22
1225292741 Michael Dellis, O.d., P.C. Optometrist 1400 E Franklin St, Hillsboro, TX 76645-2676 2008-07-14
1225211188 Ralph E Williams Optometrist 934 W Main St, Hillsboro, OH 45133-7439 2007-12-13
1285824417 Abc Optometric PC Optometrist 2991 Se 75th Ave, Hillsboro, OR 97123-6210 2007-07-25
1508078015 Buckeye Family Eye Clinic, Inc. Optometrist 205 S. High St., Hillsboro, OH 45133-9344 2007-05-04
1548472780 Baseline Vision Clinic LLC Optometrist 527 Se Baseline St. Ste B, Hillsboro, OR 97123 2007-05-03
Find all providers in HILLSBORO

Competitor

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City HILLSBORO
Zip Code 97124

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Dataset Information

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.

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