PAUL STASIK OD PC (NPI# 1396750717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396750717 |
| Entity Type | Organization |
| Organization Name | PAUL STASIK OD PC |
| Other Organization Name | BARNES PROFESSIONAL EYE CARE |
| Practice Address |
11750 Sw Barnes Rd Suite 120 Portland OR 97225-5911 |
| Practice Telephone | 5036465194 |
| Practice Fax Number | 5036469390 |
| Mailing Telephone | 5036465194 |
| Mailing Fax Number | 5036469390 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | DR. PAUL M. STASIK (PRESIDENT) |
| Authorized Official Telephone | 5036465194 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PAUL STASIK OD PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2936AT | OR | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Barnes Professional Eye Care | Doing Business As Name - Organization |
| Street Address |
11750 SW BARNES RD SUITE 120 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588690390 | Rebecca A. Kyle | Obstetrics & Gynecology | 11750 Sw Barnes Rd, Suite 300, Portland, OR 97225-5911 | 2006-06-23 |
| 1366977712 | Brenda Lynn York | Advanced Practice Midwife | 11750 Sw Barnes Rd, Suite 300, Portland, OR 97225-5911 | 2017-04-24 |
| 1366998759 | Barnes Elite Eye Care | Optometrist | 11750 Sw Barnes Rd, #120, Portland, OR 97225-5911 | 2016-08-26 |
| 1477934644 | Juliana Baron | Nurse Practitioner | 11750 Sw Barnes Rd, Suite 300, Portland, OR 97225-5911 | 2015-06-14 |
| 1841222064 | Paul M. Stasik | Optometrist | 11750 Sw Barnes Rd, Suite 120, Portland, OR 97225-5911 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194355123 | Irina Stignei Od PC | Optometrist | 1433 Ne 69th Ave, Portland, OR 97213-5301 | 2020-01-17 |
| 1295158301 | Oizu Optic LLC | Optometrist | 4133 Se Division St, Portland, OR 97202-1646 | 2014-01-24 |
| 1942737473 | Kelly Voltz | Optometrist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2017-05-15 |
| 1598000903 | Willow Creek Eye Care Inc. | Optometrist | 14740 Nw Cornell Rd Ste 110, Portland, OR 97229-5400 | 2012-12-11 |
| 1740538388 | Alberta Eye Care | Optometrist | 2021 Ne Alberta St, Portland, OR 97211-5847 | 2012-08-28 |
| 1720044878 | Maine Eye Center, Pa | Optometrist | 15 Lowell St, Portland, ME 04102-2776 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246292 | Gatti Vision LLC | Optometrist | 15405 Sw 116th Ave Ste 204, King City, OR 97224-4101 | 2020-02-05 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1396814091 | Craig E Bowen | Optometrist | 18801 Sw Boones Ferry Rd, Tualatin, OR 97062-8412 | 2006-11-07 |
| 1225125503 | Shauna R. Schissler, Od and Associates, PC | Optometrist | 970 Nw Eastman Pkwy, Gresham, OR 97030-5533 | 2006-10-06 |
| 1992798136 | Donald J Johnson Od PC | Optometrist | 635 Thornton Way, Ashland, OR 97520-4500 | 2005-08-23 |
| 1972508596 | Gerald R Starchvick | Optometrist | 1251 E Mcandrews Rd, Suite 100, Medford, OR 97504-6497 | 2005-06-20 |
| 1649764879 | Emily Cheng | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2018-06-20 |
| 1659721280 | Brooke Morris Harkness | Optometrist | 15298 Sw Royalty Pkwy, Tigard, OR 97224-3904 | 2016-06-14 |
| 1689914400 | Sustainable Vision LLC | Optometrist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2013-02-15 |
| 1851573323 | Coos Bay Vision Center, Inc | Optometrist | 986 Central Ave, Coos Bay, OR 97420-1736 | 2007-11-27 |
| 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.