BRUCE WAYNE PARKER (NPI# 1679586168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679586168 |
| Entity Type | Individual |
| Full Name | BRUCE WAYNE PARKER |
| Credential | O.D. |
| Practice Address |
19500 Se Stark St Rockwoo Medical Office Portland OR 97233-5757 |
| Mailing Address |
3460 N Holly St Canby OR 97013-8136 |
| Practice Telephone | 5036693900 |
| Mailing Telephone | 5032666355 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | WA OD 00001253 | WA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OR 1450T | OR | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437383767 | Bruce Alan Parker | Chiropractor | 22917 Pacific Coast Hwy, Ste 220, Malibu, CA 90265-6407 | 2009-05-14 |
| 1497917835 | Bruce Shea Parker | Social Worker | 48 Country Club Ln, Woodstock, NY 12498-1839 | 2008-06-26 |
| 1750492054 | Bruce Edward Parker | Dentist | 2530 Nw Medical Park Dr, Roseburg, OR 97470-5510 | 2006-08-31 |
| 1215410501 | Bruce Duwayne Parker | Social Worker | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2018-09-12 |
| 1679601843 | Bruce Dale Parker | Dentist | 5109 W Genesee St, Camillus, NY 13031-2352 | 2007-03-01 |
| 1750455101 | Bruce Parker | Dentist | 6301 Forbes Ave, Suite 102, Pittsburgh, PA 15217-1725 | 2006-11-20 |
| 1205884327 | Bruce A Parker | Chiropractor | 800 Magnolia Ave, Suite 109, Corona, CA 92879-3123 | 2006-05-04 |
| 1972593135 | Bruce R Parker | Radiology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2005-10-27 |
| Street Address |
19500 SE STARK ST ROCKWOO MEDICAL OFFICE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-5757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041961 | Patrick Kwong | Optometrist | 19500 Se Stark St, Portland, OR 97233-5757 | 2005-08-30 |
| 1487206108 | Yue Song | Student in an Organized Health Care Education/Training Program | 19500 Se Stark St, Portland, OR 97233-5757 | 2019-07-12 |
| 1942867965 | Joyce Trandem | Student in an Organized Health Care Education/Training Program | 19500 Se Stark St, Portland, OR 97233-5757 | 2019-05-24 |
| 1902462914 | Jessica Pham | Student in an Organized Health Care Education/Training Program | 19500 Se Stark St, Portland, OR 97233-5757 | 2019-05-15 |
| 1366909988 | Stephanie Radu | Student in an Organized Health Care Education/Training Program | 19500 Se Stark St, Portland, OR 97233-5757 | 2019-03-01 |
| 1336643105 | Tara Martin | Social Worker | 19500 Se Stark St, Portland, OR 97233-5757 | 2018-03-19 |
| 1760998066 | Lisa Ann M Wilson | Pharmacist | 19500 Se Stark St, Portland, OR 97233-5757 | 2017-12-21 |
| 1518471481 | Dustin Trung Khuu | Pharmacist | 19500 Se Stark St, Portland, OR 97233 | 2017-11-29 |
| 1437672193 | Gregory C Dalton | Counselor | 19500 Se Stark St, Portland, OR 97233-5757 | 2017-07-24 |
| 1891246989 | Kaiser Foundation Health Plan of The Northwest | General Practice | 19500 Se Stark St, Portland, OR 97233-5757 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1689235160 | Maja Krsmanovic | Optometrist | 14 Buca Run, Portland, ME 04103-1427 | 2019-06-25 |
| 1407416225 | Sarah Fowler | Optometrist | 605 S Broadway St, Portland, TN 37148-1619 | 2019-06-14 |
| 1720645302 | Ryan Steve Kucala | Optometrist | 520 Nw Lost Springs Ter # Unite203, Portland, OR 97229-6655 | 2019-05-20 |
| 1023575925 | Pacific Eye Group, PC | Optometrist | 1006 Lloyd Ctr, Portland, OR 97232-1266 | 2019-02-27 |
| 1811472749 | Carole Tong | Optometrist | 8136 Se Foster Rd Ste 260, Portland, OR 97206-4288 | 2018-09-26 |
| 1528580354 | Dr. Han Tran & Associates, P.C. | Optometrist | 12100 Se 82nd Ave, Portland, OR 97086-7755 | 2017-07-13 |
| 1306384128 | Daniel & Max, LLC | Optometrist | 8795 Sw Scholls Ferry Rd, Portland, OR 97223-4409 | 2017-02-01 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 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.