BRETT AGOST (NPI# 1326030883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326030883 |
| Entity Type | Individual |
| Full Name | BRETT AGOST |
| Credential | O.D. |
| Practice Address |
125 Nw Miller Gresham OR 97030 |
| Practice Telephone | 5036653813 |
| Practice Fax Number | 5034922313 |
| Mailing Telephone | 5036653813 |
| Mailing Fax Number | 5034922313 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2010-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2497ATI | OR | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2497T | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 120167 | 05 |
| Street Address |
125 NW MILLER |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1376141754 | Aa Vision Corporation | Optometrist | 2474 Se Burnside Rd, Gresham, OR 97080-1247 | 2020-10-16 |
| 1831636661 | Daniel & Max, LLC | Optometrist | 305 Nw Burnside Rd, Gresham, OR 97030-3851 | 2017-01-31 |
| 1790846251 | Mel G Macphee | Optometrist | 1201 Se 223rd Ave Ste 160, Gresham, OR 97030-2577 | 2006-12-12 |
| 1942228648 | Mark A. George | Optometrist | 22640 Se Stark St, Gresham, OR 97030-2656 | 2006-07-18 |
| 1780676254 | Dan Caldwell | Optometrist | 125 Nw Miller Ave, Gresham, OR 97030-7225 | 2005-08-19 |
| 1821095597 | Ronald L Kerns | Optometrist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2005-07-07 |
| 1912467226 | Pacific Eye Group, PC | Optometrist | 970 Nw Eastman Pkwy, Gresham, OR 97030-5533 | 2019-03-22 |
| 1871064154 | Lyons Eye LLC | Optometrist | 1380 E Powell Blvd, Gresham, OR 97030-8004 | 2018-12-11 |
| 1063982239 | Oregon Physicians Eyecare Group, P.C. | Optometrist | 305 Nw Burnside Rd, Gresham, OR 97030-3851 | 2018-11-30 |
| 1518302918 | Cascade Vision Center Inc. | Optometrist | 1201 Se 223rd Ave, Suite 160, Gresham, OR 97030-2574 | 2013-04-30 |
| Find all providers in GRESHAM | ||||
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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.