PACIFIC UNIVERSITY (NPI# 1124136833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124136833 |
| Entity Type | Organization |
| Organization Name | PACIFIC UNIVERSITY |
| Other Organization Name | PU SOUTHEAST VISION CENTER |
| Practice Address |
3653 Se 34th Portland OR 97202 |
| Practice Telephone | 5039883506 |
| Practice Fax Number | 5039883887 |
| Mailing Telephone | 5039883506 |
| Mailing Fax Number | 5039883887 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DARLENE P MORGAN (VICE PRESIDENT FINANCE & ADMIN) |
| Authorized Official Telephone | 5033522258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 067186 | 05 |
| Other Name | Type Code |
|---|---|
| PU Southeast Vision Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811363310 | Pacific University | Clinic/Center | 2142 College Way, Forest Grove, OR 97116-1727 | 2015-08-19 |
| 1124225842 | Pacific University | Optometrist | 44 North 11th Avenue, Cornelius, OR 97113 | 2007-06-27 |
| 1306954011 | Pacific University | Optometrist | 222 Se 8th, Suite 114, Hillsboro, OR 97123 | 2006-08-25 |
| 1497863104 | Pacific University | Optometrist | 511 Sw 10th, Suite 500, Portland, OR 97205 | 2006-08-25 |
| 1386292852 | Pacific University | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2019-08-28 |
| 1629421805 | Pacific University | Family Medicine | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-07-22 |
| 1265881650 | Pacific University | Speech-Language Pathologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-06-07 |
| 1912377193 | Pacific University | Clinic/Center | 1411 Sw Morrison St, Sutie 310, Portland, OR 97205-1945 | 2015-10-01 |
| 1700256989 | Pacific University | Clinic/Center | 222 Se 8th Ave, Suite 212, Hillsboro, OR 97123-4218 | 2015-10-01 |
| 1033595269 | Pacific University | Clinic/Center | 333 Se 7th Ave, Suite 4250, Hillsboro, OR 97123-4157 | 2015-08-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFIC UNIVERSITY | 2043 College Way, Forest Grove, OR 97116-1797 |
| Oregon Corporations, Companies and Business Names | PACIFIC UNIVERSITY | 2043 College Way, Forest Grove, OR 97116 |
| Oregon Corporations, Companies and Business Names | PACIFIC UNIVERSITY BOOKSTORE #329 | 2032 Pacific Ave, Forest Grove, OR 97116 |
| Street Address |
3653 SE 34TH |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| 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.