TIGARD VISION WORLD, P.C. (NPI# 1780972778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780972778 |
| Entity Type | Organization |
| Organization Name | TIGARD VISION WORLD, P.C. |
| Practice Address |
9975 Sw Frewing St Suite 130 Tigard OR 97223-5091 |
| Practice Telephone | 5039063596 |
| Practice Fax Number | 5039061014 |
| Mailing Telephone | 5039063596 |
| Mailing Fax Number | 5039061014 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | MR. JEFFREY DONALD HARRIS (PRESIDENT) |
| Authorized Official Telephone | 5037037451 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1863T | OR | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TIGARD VISION WORLD, P.C. | 9975 Sw Frewing St Ste 130, Tigard, OR 97223 |
| Street Address |
9975 SW FREWING ST SUITE 130 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811439136 | Thomas Vanidestine | Chiropractor | 9975 Sw Frewing St, Suite #210, Tigard, OR 97223-5091 | 2016-11-17 |
| 1447600341 | Accident Care Chiropractic and Massage of Tigard | Chiropractor | 9975 Sw Frewing St, Suite 210, Tigard, OR 97223-5091 | 2016-06-21 |
| 1669805388 | United Medical Group, PC | Clinic/Center | 9975 Sw Frewing St, Suite 110, Tigard, OR 97223-5091 | 2013-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| 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 |
|---|---|---|---|---|
| 1063034148 | Pacific Eye Group, PC | Optometrist | 10104 Sw Washington Square Rd Spc A02, Tigard, OR 97223-4457 | 2020-05-12 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| 1295198885 | Deanna Olma | Optometrist | 10104 Sw Washington Square Rd, Tigard, OR 97223-4457 | 2016-03-31 |
| 1255619979 | Theresa A Mcadoo, Od, PC | Optometrist | 7855 Sw Dartmouth Street, Tigard, OR 97223-8401 | 2011-07-29 |
| 1518166933 | Dawne Rime Griffith | Optometrist | 7110 Sw Hazel Fern Rd., Suite 200, Tigard, OR 97224 | 2007-07-16 |
| 1821113127 | Richard L Zoller | Optometrist | 9800 Sw Washington Square Rd, Tigard, OR 97223-4455 | 2007-03-19 |
| 1750456802 | Sharon Lynn Hirata | Optometrist | 9730 Sw Washington Square Rd., Tigard, OR 97223 | 2006-11-22 |
| 1841378221 | Ogata Eyecare, PC | Optometrist | 9730 Sw Washington Square Rd, Tigard, OR 97223-4453 | 2006-11-01 |
| 1093898520 | Eric Scott Freedle | Optometrist | 7307 Sw Beveland Rd, Suite 100, Tigard, OR 97223-8831 | 2006-10-20 |
| 1710070222 | Jona Pradhan | Optometrist | 9225 Sw Hall Blvd Ste C, Tigard, OR 97223-6794 | 2006-10-02 |
| Find all providers in TIGARD | ||||
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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.