HILLSBORO EYE CLINIC, PC (NPI# 1275628869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275628869 |
| Entity Type | Organization |
| Organization Name | HILLSBORO EYE CLINIC, PC |
| Other Organization Name | TANASBOURNE OPTICAL |
| Practice Address |
18650 Nw Cornell Rd Suite 112 Hillsboro OR 97124-9208 |
| Mailing Address |
512 E Main St Hillsboro OR 97123-9208 |
| Practice Telephone | 5036458808 |
| Practice Fax Number | 5036930441 |
| Mailing Telephone | 5036403708 |
| Mailing Fax Number | 5036930441 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-09-12 |
| Authorized Official Name | DR. TIMOTHY L GARD (PRESIDENT) |
| Authorized Official Telephone | 5036403708 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | HILLSBORO EYE CLINIC, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 278569 | 05 |
| Other Name | Type Code |
|---|---|
| Tanasbourne Optical | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275578775 | Hillsboro Eye Clinic, PC | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2006-06-18 |
| Street Address |
18650 NW CORNELL RD SUITE 112 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617902 | Erik John Aspengren | Physical Therapist | 18650 Nw Cornell Rd, Suite 314, Hillsboro, OR 97124-9207 | 2005-11-28 |
| 1740768423 | Kevin Yukio Fujimoto | Physical Therapist | 18650 Nw Cornell Rd, Hillsboro, OR 97124-9207 | 2018-08-03 |
| 1922586916 | Constance Liu | Occupational Therapist | 18650 Nw Cornell Rd, Hillsboro, OR 97124-9207 | 2018-08-01 |
| 1437681624 | Sally Loprinzi | Registered Nurse | 18650 Nw Cornell Rd, Suite 220, Hillsboro, OR 97124-9207 | 2017-03-28 |
| 1952833253 | Alexis Kathryn Vannerson | Registered Nurse | 18650 Nw Cornell Rd, Suite 220, Hillsboro, OR 97124-9207 | 2017-03-28 |
| 1003223959 | Providence Health & Services - Oregon | Clinic/Center | 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124-9208 | 2014-07-11 |
| 1861817470 | Thomas Owens | Registered Nurse | 18650 Nw Cornell Rd, Suite 220, Hillsboro, OR 97124-9207 | 2014-02-19 |
| 1053748640 | Maryanne Frances Stewart | Social Worker | 18650 Nw Cornell Rd, Suite 315, Hillsboro, OR 97124-9207 | 2013-09-27 |
| 1710245949 | Kelly Jean Cleaves | Psychiatry & Neurology | 18650 Nw Cornell Rd, Ste 315, Hillsboro, OR 97124-9207 | 2012-04-25 |
| 1245513845 | Katherine Corea Talbert | Counselor | 18650 Nw Cornell Rd, Suite 315, Hillsboro, OR 97124-9207 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013182229 | Jana L. Mounts O.d. Inc. | Eyewear Supplier (Equipment, not the service) | 2927 S.e. 73rd Ave, Hillsboro, OR 97123 | 2008-04-29 |
| 1548444797 | Leonard Hughes Co Inc | Eyewear Supplier (Equipment, not the service) | 11339 Hwy 21, Hillsboro, MO 63050 | 2007-12-24 |
| 1194870006 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 19325 Nw Emma Way, The Streets of Tanasbourne Ste #1210, Hillsboro, OR 97124-9004 | 2007-01-24 |
| 1285671321 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6495 Se Tualatin Valley Hwy, Suite C, Hillsboro, OR 97123-7482 | 2006-05-31 |
| 1831589332 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1255 Ne 48th Ave, Hillsboro, OR 97124-5008 | 2015-02-04 |
| 1174714943 | Eyehealth Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2007-08-07 |
| 1578777892 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2007-05-09 |
| 1821185588 | Hillsboro Eye Clinic,pc | Eyewear Supplier (Equipment, not the service) | 512 E Main St, Hillsboro, OR 97123-4137 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255827689 | Woodburn Eye Center, LLC | Eyewear Supplier (Equipment, not the service) | 580 Glatt Cir, Woodburn, OR 97071-7690 | 2018-07-09 |
| 1518473297 | Asterix Eyewear | Eyewear Supplier (Equipment, not the service) | 4936 Se Foster Rd, Portland, OR 97206-3037 | 2017-12-18 |
| 1831616929 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 817 Nw 23rd Ave, Portland, OR 97210-3003 | 2017-08-29 |
| 1568993988 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9300 Sw Washington Square Rd, Portland, OR 97223-4428 | 2017-03-27 |
| 1871048090 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 30020 Sw Boones Ferry Rd, Wilsonville, OR 97070-8912 | 2016-08-17 |
| 1467823518 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3148 N Highway 97, Suite B-1, Bend, OR 97703-7514 | 2015-10-15 |
| 1871962951 | Optical Shop Equipment Inc | Eyewear Supplier (Equipment, not the service) | 341 Nw Medical Loop, Suite 120, Roseburg, OR 97471-5540 | 2015-09-18 |
| 1326460221 | Mt. Hood Eye Care Corporation | Eyewear Supplier (Equipment, not the service) | 36840 Industrial Way Ste D, Sandy, OR 97055-9254 | 2014-01-11 |
| 1528301173 | Treondaus Garnett Morman | Eyewear Supplier (Equipment, not the service) | 1135 Santiam Hwy Se, Albany, OR 97321-3156 | 2013-04-02 |
| 1750611372 | Focal Point | Eyewear Supplier (Equipment, not the service) | 2002 Highway 101, North, Florence, OR 97439-0155 | 2010-01-04 |
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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.