SPECTACLE LLC (NPI# 1639646912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639646912 |
| Entity Type | Organization |
| Organization Name | SPECTACLE LLC |
| Practice Address |
2905 Sw Cedar Hills Blvd Ste 100 Beaverton OR 97005-1342 |
| Mailing Address |
2250 Nw Lovejoy St Portland OR 97210-3020 |
| Practice Telephone | 5037195179 |
| Practice Fax Number | 9713026934 |
| Mailing Telephone | 5037195179 |
| Mailing Fax Number | 9713026934 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | MARC LANDON SCHMITT (OPTOMETRIST) |
| Authorized Official Telephone | 5038630081 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTACLE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376951293 | Spectacle LLC | Optometrist | 2250 Nw Lovejoy St, Portland, OR 97210-3020 | 2014-07-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Spectacle LLC | 3622 W 29th Ave, Denver, CO 80211 |
| Indiana Business Entities | SPECTACLE LLC | 11721 Yale Dr, Carmel, IN 46032 |
| Street Address |
2905 SW CEDAR HILLS BLVD STE 100 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1477175453 | Pacific Eye Group, PC | Optometrist | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005-1347 | 2020-05-12 |
| 1336515741 | Bridgetown Optometric Associates LLC | Optometrist | 20695 Nw Painted Mountain Dr, Beaverton, OR 97006-2028 | 2015-08-19 |
| 1356698534 | Mid Michigan Family Eye Care Pllc | Optometrist | 334 N Ross St, Beaverton, MI 48612-8165 | 2012-08-07 |
| 1558624320 | Michela Kenning | Optometrist | 672 Nw Autumncreek Way Apt M303, Beaverton, OR 97006-7789 | 2012-06-18 |
| 1679851752 | Ji Hyun Lee | Optometrist | 1865 Nw 169th Pl Ste 105, Beaverton, OR 97006-7310 | 2011-07-24 |
| 1205145620 | Andrea Renee Kwiecien | Optometrist | 11424 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 | 2010-10-04 |
| 1477730877 | Darcy Coats Taylor | Optometrist | 4655 Sw Griffith Dr Ste 165, Beaverton, OR 97005-8731 | 2008-01-28 |
| 1609051259 | Rosemary F Detmer Stone Od | Optometrist | 14385 Sw Allen Blvd Ste 102, Beaverton, OR 97005-4429 | 2008-01-02 |
| 1447457452 | Ami Renee Halvorson | Optometrist | 12600 Sw Crescent St, Suite 130, Beaverton, OR 97005-1693 | 2007-07-02 |
| 1386652220 | Remy John Delplanche | Optometrist | 4280 Sw Cedar Hills Blvd, Beaverton, OR 97005 | 2006-08-04 |
| Find all providers in BEAVERTON | ||||
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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.