NELSI INC (NPI# 1477071926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477071926 |
| Entity Type | Organization |
| Organization Name | NELSI INC |
| Other Organization Name | NORTHWEST EYE LASER & SURGERY INSTITUTE |
| Practice Address |
11786 Sw Barnes Rd Ste 270 Portland OR 97225-5929 |
| Mailing Address |
2633 Nw Holloway Dr Portland OR 97229-8574 |
| Practice Telephone | 5073191904 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | DR. MEHRDAD MALIHI (PRESIDENT) |
| Authorized Official Telephone | 5073191904 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwest Eye Laser & Surgery Institute | Doing Business As Name - Organization |
| Street Address |
11786 SW BARNES RD STE 270 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1861736902 | Asem Alqudah | Ophthalmology | 4730 Sw Luradel St Apt 6, Portland, OR 97219-6841 | 2012-11-15 |
| 1184912925 | Mehrdad Malihi | Ophthalmology | 10940 Sw Barnes Rd # 132, Portland, OR 97225-5368 | 2011-07-14 |
| 1275820714 | Aristomenis Thanos | Ophthalmology | 1040 Nw 22nd Ave Bldg 2, Portland, OR 97210-3057 | 2011-07-06 |
| 1437440435 | Jessica S Watson | Ophthalmology | 15 Lowell Street, Portland, ME 04102-2726 | 2011-04-25 |
| 1497955777 | Paul James Mackenzie | Ophthalmology | 1040 Nw 22nd Ave Fl 2, Portland, OR 97210-3057 | 2007-07-24 |
| 1013127075 | Michael David Straiko | Ophthalmology | 1040 Nw 22nd Ave., Suite 200, Portland, OR 97210 | 2007-05-22 |
| 1952515645 | Jay Brandon Futterman | Ophthalmology | 3719 Se Market St, Portland, OR 97214-5147 | 2007-05-10 |
| 1063541381 | Thomas William Lindgren | Ophthalmology | 4702 Sw Scholls Ferry Rd # 104, Portland, OR 97225-1667 | 2007-03-04 |
| Find all providers in PORTLAND | ||||
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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.