ABC OPTOMETRIC PC (NPI# 1285824417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285824417 |
| Entity Type | Organization |
| Organization Name | ABC OPTOMETRIC PC |
| Other Organization Name | ABC VISON SOURCE ALOHA |
| Practice Address |
2991 Se 75th Ave Hillsboro OR 97123-6210 |
| Practice Telephone | 5036497566 |
| Practice Fax Number | 5036490123 |
| Mailing Telephone | 5036497566 |
| Mailing Fax Number | 5036490123 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | MICHAEL HESTER (SEC./TREAS.) |
| Authorized Official Telephone | 5034738039 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2784ATI | OR | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 226366 | 05 |
| Other Name | Type Code |
|---|---|
| ABC Vison Source Aloha | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20661 Sw Roy Rogers Rd Ste 503, Sherwood, OR 971409277 | 5036255599 | 5036255992 |
| 18629 Sw Tualatin Valley Hwy, Aloha, OR 970063153 | 5036497566 |
| Street Address |
2991 SE 75TH AVE |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1275996894 | Etosha C Fegan | Optometrist | 2100 Nw Allie Ave # 440, Hillsboro, OR 97124-9079 | 2016-03-31 |
| 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 |
| 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 | ||||
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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.