LIGHTHOUSE VISION CARE, P.C. (NPI# 1235325176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235325176 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE VISION CARE, P.C. |
| Practice Address |
310 Stillwell Ave Tillamook OR 97141-2119 |
| Practice Telephone | 5038426363 |
| Practice Fax Number | 5038426204 |
| Mailing Telephone | 5038426363 |
| Mailing Fax Number | 5038426204 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | DR. RAYMOND K DEHAAN (OPTOMETRIST/PRESIDENT) |
| Authorized Official Telephone | 5038426363 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
2858T | OR | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2858T | OR | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 2858T | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 182762 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LIGHTHOUSE VISION CARE, P.C. | 310 Stillwell Ave, Tillamook, OR 97141 |
| Street Address |
310 STILLWELL AVE |
| City | TILLAMOOK |
| State | OR |
| Zip Code | 97141-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639221690 | Raymond Keith Dehaan | Optometrist | 310 Stillwell Ave, Tillamook, OR 97141-2119 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| 1457848608 | Arnadene Vanebo | Dietitian, Registered | 801 Pacific Avenue, Tillamook, OR 97141 | 2018-04-13 |
| 1336339647 | Shirley Arneson | Nurse Practitioner | 1011 Third St, Bay Ocean Medical, PC, Tillamook, OR 97141 | 2007-08-01 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1578535175 | Paul C Welch | Obstetrics & Gynecology | 1000 3rd Street, Tillamook, OR 97141 | 2006-02-07 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1467979609 | Karen Sheelar | Counselor | 801 Pacific Ave, Tillamook, OR 97141 | 2017-08-28 |
| Find all providers in zip 97141 | ||||
| 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 |
|---|---|---|---|---|
| 1104113497 | Lee Michael Johnson | Optometrist | 800 Main Ave Ste A, Tillamook, OR 97141-3760 | 2011-07-07 |
| 1639221690 | Raymond Keith Dehaan | Optometrist | 310 Stillwell Ave, Tillamook, OR 97141-2119 | 2007-01-18 |
| 1306821913 | Eric Halperin | Optometrist | 800 Main Ave, Suite A, Tillamook, OR 97141-3760 | 2005-12-07 |
| 1538419676 | Eyes of Oregon LLC | Optometrist | 102 Main Ave, Tillamook, OR 97141-2218 | 2012-09-17 |
| 1740546290 | Tillamook Optometric Clinic | Optometrist | 102 Main Ave, Tillamook, OR 97141-2218 | 2012-04-10 |
| 1386956522 | Rowland Vision Care Inc. | Optometrist | 2500 Main Ave N, Tillamook, OR 97141-7725 | 2010-07-03 |
| 1841275450 | Beatrice H Michel | Optometrist | 800 Main Ave, Suite A, Tillamook, OR 97141-3814 | 2005-12-07 |
| 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.