WELLER INC (NPI# 1205984630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205984630 |
| Entity Type | Organization |
| Organization Name | WELLER INC |
| Other Organization Name | CROWN OPTICAL & SAFETY |
| Practice Address |
2933 E Burnside St Portland OR 97214-1831 |
| Practice Telephone | 5032325006 |
| Practice Fax Number | 5032393977 |
| Mailing Telephone | 5032325006 |
| Mailing Fax Number | 5032393977 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD W WELLER (OWNER OPTICIAN) |
| Authorized Official Telephone | 5032325006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Crown Optical & Safety | Doing Business As Name - Organization |
| Street Address |
2933 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619530524 | Christopher Morgan Wheaton | Technician/Technologist | 93 Washington Ave Unit 2, Portland, ME 04101-2618 | 2019-04-16 |
| 1609108968 | Kathy Haywood | Technician/Technologist | 1017 Northcliff Dr, Portland, TX 78374-1918 | 2010-02-10 |
| 1508006040 | America's Best Contacts & Eyeglasses | Technician/Technologist | 539 Sw 3rd Ave, Portland, OR 97204-2501 | 2009-02-24 |
| 1669621207 | Reynolds Optical | Technician/Technologist | 800 Sw Alder, Portland, OR 97205-3107 | 2008-09-18 |
| 1235306911 | Amy Roseanne Skucas | Technician/Technologist | 500 Multnomah St, Suite 100, Portland, OR 97232 | 2008-05-13 |
| 1497926463 | Hallmark Opticians | Technician/Technologist | 1911ne Broadway, Portland, OR 97232-1501 | 2008-03-18 |
| 1922139054 | Sandra Gillgam | Technician/Technologist | 11703 Ne Glisan St, Portland, OR 97220-2141 | 2007-03-08 |
| 1053455782 | Keeoli Corp Dba Vipeyes | Technician/Technologist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2007-02-16 |
| 1245385160 | Charles Marshall | Technician/Technologist | 1911 Ne Broadway St, Portland, OR 97232-1501 | 2007-01-23 |
| 1710048335 | Derek James Buchanan | Technician/Technologist | 925 Sw Taylor St, Portland, OR 97205-2503 | 2006-12-13 |
| 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.