JOHN ALEXANDER SMITH (NPI# 1609808237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609808237 |
Entity Type | Individual |
Full Name | JOHN ALEXANDER SMITH |
Credential | O.D. |
Practice Address |
2043 College Way Forest Grove OR 97116-1756 |
Practice Telephone | 5033522881 |
Practice Fax Number | 5033522929 |
Mailing Telephone | 5033522881 |
Mailing Fax Number | 5033522929 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1509ATI | OR | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 222190 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
1104392034 | John Seth Smith | Behavioral Analyst | 1002 S Vienna St, Ruston, LA 71270-5832 | 2018-10-18 |
1316454283 | John Smith | Driver | 339 E Glenwood Ave, Akron, OH 44310-3850 | 2018-01-02 |
1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
1952837536 | John Kenny Smith | Counselor | 140d Larkspur Ln, Galax, VA 24333-2305 | 2017-05-03 |
1114464435 | John Smith Jr. | Counselor | 390 E Boundary Dr, Spartanburg, SC 29303-3926 | 2017-01-24 |
1982152930 | John Smith | Physical Therapist | 412 W Central Ave, Fitzgerald, GA 31750-2442 | 2016-09-20 |
1588028518 | John Smith | Counselor | 8888 Finley Rd, Wooster, OH 44691-7563 | 2016-04-06 |
1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
1235545526 | John Charles Smith | Pharmacist | 2666 Riva Rd Ste 110, Annapolis, MD 21401-7351 | 2014-07-08 |
Street Address |
2043 COLLEGE WAY |
City | FOREST GROVE |
State | OR |
Zip Code | 97116-1756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962492595 | Kenneth Warren Eakland | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2005-10-25 |
1972102796 | Jonathan T Bloemers | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2020-10-22 |
1457979080 | Maud Darger | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1797 | 2020-07-09 |
1881226249 | Caitlin Odonnell | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2020-02-04 |
1386292852 | Pacific University | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2019-08-28 |
1447813563 | Mari Jalene Fujimoto | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2019-04-15 |
1043776024 | Abigail Carpenter | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2019-02-14 |
1194294108 | Julia Le Lieu | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1797 | 2018-11-19 |
1083192488 | Rachael Leeann Wilson | Physician Assistant | 2043 College Way, Forest Grove, OR 97116-1756 | 2018-07-30 |
1154807295 | Sarah Rothley Lucas | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2018-07-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
Find all providers in zip 97116 |
Taxonomy Code | 152WL0500X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Low Vision Rehabilitation |
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669500278 | Jill Scheiffele | Optometrist | 1111 Ne 102nd Ave, Portland, OR 97220-3902 | 2007-03-02 |
1891742722 | John Michael Boyer | Optometrist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2006-05-27 |
1902894520 | Karen M Rice | Optometrist | 2525 Nw Lovejoy St, Suite 100, Portland, OR 97210-2859 | 2005-10-07 |
City | FOREST GROVE |
Zip Code | 97116 |
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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.