WILLOW CREEK EYE CARE INC. (NPI# 1598000903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598000903 |
| Entity Type | Organization |
| Organization Name | WILLOW CREEK EYE CARE INC. |
| Practice Address |
14740 Nw Cornell Rd Ste 110 Portland OR 97229-5400 |
| Practice Telephone | 5036458002 |
| Mailing Telephone | 5036458002 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-15 |
| Authorized Official Name | DR. PAOLA F VITIELLO (PRESIDENT) |
| Authorized Official Telephone | 5036458002 |
| Authorized Official Credential | O.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2040ATI | OR | Eye and Vision Services Providers |
| Street Address |
14740 NW CORNELL RD STE 110 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073756573 | Angela Ardiss | Optometrist | 14740 Nw Cornell Rd Ste 110, Portland, OR 97229-5400 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
| 1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
| 1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
| 1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
| 1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
| Find all providers in zip 97229 | ||||
| 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 |
| 1740538388 | Alberta Eye Care | Optometrist | 2021 Ne Alberta St, Portland, OR 97211-5847 | 2012-08-28 |
| 1396750717 | Paul Stasik Od PC | Optometrist | 11750 Sw Barnes Rd, Suite 120, Portland, OR 97225-5911 | 2006-07-31 |
| 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.