ETOSHA C FEGAN (NPI# 1275996894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275996894 |
| Entity Type | Individual |
| Full Name | ETOSHA C FEGAN |
| Credential | OD |
| Practice Address |
2100 Nw Allie Ave # 440 Hillsboro OR 97124-9079 |
| Practice Telephone | 5036901856 |
| Mailing Telephone | 5036901856 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4311-ATI | OR | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2326 Nw Amberbrook Dr, Beaverton, OR 970066952 | 5034662966 | |
| 5370 Nw Innisbrook Pl, Portland, OR 972291906 | 4065294798 |
| Street Address |
2100 NW ALLIE AVE # 440 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-9079 |
| 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 | 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 |
|---|---|---|---|---|
| 1275156432 | Laura Andre | Optometrist | 925 W. Main Street, Hillsboro, OH 45133 | 2020-05-22 |
| 1619428737 | Jlee Optometry, LLC | Optometrist | 6495 Se Tv Hwy Ste C, Hillsboro, OR 97123-8273 | 2016-10-24 |
| 1689025678 | Katherine A. Ruecker, O.d, & Associates, P.C. | Optometrist | 2100 Nw Allie Ave, Hillsboro, OR 97124-9079 | 2016-06-30 |
| 1417243874 | Wesley Dennis Crockett | Optometrist | 7515 Se Tualatin Valley Hwy, Hillsboro, OR 97123-8252 | 2011-06-23 |
| 1477783694 | Prairie Eye Center Ltd | Optometrist | 200 E Mechanic St, Hillsboro, IL 62049-2007 | 2009-07-22 |
| 1225292741 | Michael Dellis, O.d., P.C. | Optometrist | 1400 E Franklin St, Hillsboro, TX 76645-2676 | 2008-07-14 |
| 1225211188 | Ralph E Williams | Optometrist | 934 W Main St, Hillsboro, OH 45133-7439 | 2007-12-13 |
| 1285824417 | Abc Optometric PC | Optometrist | 2991 Se 75th Ave, Hillsboro, OR 97123-6210 | 2007-07-25 |
| 1508078015 | Buckeye Family Eye Clinic, Inc. | Optometrist | 205 S. High St., Hillsboro, OH 45133-9344 | 2007-05-04 |
| 1548472780 | Baseline Vision Clinic LLC | Optometrist | 527 Se Baseline St. Ste B, Hillsboro, OR 97123 | 2007-05-03 |
| Find all providers in HILLSBORO | ||||
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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.