NILS KOFOED (NPI# 1649895681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649895681 |
| Entity Type | Individual |
| Full Name | NILS KOFOED |
| Practice Address |
502 E Main St Molalla OR 97038-9148 |
| Mailing Address |
16752 Se Market St # B Portland OR 97233-4426 |
| Practice Telephone | 5038299186 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ATI4514 | OR | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 Ne Main St, Estacada, OR 970238528 | 5036303528 |
| Street Address |
502 E MAIN ST |
| City | MOLALLA |
| State | OR |
| Zip Code | 97038-9148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336520386 | Christopher Jacob | Optometrist | 502 E Main St, Molalla, OR 97038-9148 | 2015-06-16 |
| 1497931018 | Molalla Vision Clinic PC | Optometrist | 502 E Main St, Molalla, OR 97038-9148 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316435241 | Daniel J Floyd Dmd Ms LLC | Dentist | 863 W. Main St., Suite 200, Molalla, OR 97038 | 2018-04-26 |
| 1285985002 | Julie Kornilkin | Massage Therapist | 9021 S. Gibson Rd., Bldg. B, Molalla, OR 97038 | 2012-09-20 |
| 1326213679 | Lynn Renee Clark | Skilled Nursing Facility | 301 Ridings Avenue, Molalla, OR 97038 | 2008-04-28 |
| 1083887285 | Geoffrey Hsi-wen Wang | Dentist | 175 Grange Avenue, Molalla, OR 97038 | 2008-04-08 |
| 1629283627 | Inkrote Chiropractic Clinic, PC | Chiropractor | 217 N Molalla Ave, Molalla, OR 97038 | 2007-05-12 |
| 1063589406 | Sabrina Marie Frolov | Chiropractor | 207 S Molalla Ave, Molalla, OR 97038 | 2006-11-29 |
| 1639254204 | Silverton Hospital | Specialist | 861 West Main Street, Molalla, OR 97038 | 2006-10-25 |
| 1235231275 | Jay Wallace Walker | Optometrist | 502 E Main Street, Molalla, OR 97038 | 2006-09-01 |
| 1427087931 | Heather Mary Tonga | Physician Assistant | 110 Center Ave, Molalla, OR 97038 | 2006-06-30 |
| 1497715270 | Cutters Hi-school Pharmacy | Pharmacy | 103 Robbins St, Molalla, OR 97038 | 2006-03-24 |
| Find all providers in zip 97038 | ||||
| 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 |
|---|---|---|---|---|
| 1235231275 | Jay Wallace Walker | Optometrist | 502 E Main Street, Molalla, OR 97038 | 2006-09-01 |
| 1336520386 | Christopher Jacob | Optometrist | 502 E Main St, Molalla, OR 97038-9148 | 2015-06-16 |
| 1497931018 | Molalla Vision Clinic PC | Optometrist | 502 E Main St, Molalla, OR 97038-9148 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080105 | Quest Mobile Vision | Optometrist | 1900 E Fulton St, Newberg, OR 97132-1806 | 2020-10-16 |
| 1376141754 | Aa Vision Corporation | Optometrist | 2474 Se Burnside Rd, Gresham, OR 97080-1247 | 2020-10-16 |
| 1578170387 | Zachary Willits | Optometrist | 8495 Crater Lake Hwy Bldg 212, White City, OR 97503-3011 | 2020-09-25 |
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1477175453 | Pacific Eye Group, PC | Optometrist | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005-1347 | 2020-05-12 |
| 1063034148 | Pacific Eye Group, PC | Optometrist | 10104 Sw Washington Square Rd Spc A02, Tigard, OR 97223-4457 | 2020-05-12 |
| 1457973992 | Tammy T Nguyen | Optometrist | 16801 Se Davidoff Way, Damascus, OR 97089-5801 | 2020-05-07 |
| 1629698642 | Prashna Mistry | Optometrist | College of Optometry, 2043 College Way, Forest Grove, OR 97116-1797 | 2020-04-20 |
| 1376162008 | Eyestrong, LLC | Optometrist | 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 | 2020-04-13 |
| 1740816768 | Allison Kuo | Optometrist | 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
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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.