MR. KEVIN RIEDEL (NPI# 1609101781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609101781 |
| Entity Type | Individual |
| Full Name | MR. KEVIN RIEDEL |
| Credential | OD |
| Practice Address |
19250 Sw 65th Ave Ste 215 Tualatin OR 97062 |
| Mailing Address |
6420 S Macadam Ave Ste 160 Portland OR 97239-3517 |
| Practice Telephone | 5036923630 |
| Mailing Telephone | 5032448601 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3402ATI | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500650374 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 Cherry Heights Rd, The Dalles, OR 970583586 | 5412961101 | |
| 2318 E Portland Rd Ste 300, Newberg, OR 971321374 | 5035381341 | |
| 9 Monroe Pkwy Ste 160, Lake Oswego, OR 970358863 | 5036362551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336258987 | Kevin Riedel | Physical Therapist | 1860 Industrial Cir Ste D, Longmont, CO 80501-6560 | 2006-08-29 |
| Street Address |
19250 SW 65TH AVE STE 215 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073718276 | Lorinna H Lombardi | Ophthalmology | 19250 Sw 65th Ave Ste 215, Tualatin, OR 97062-7707 | 2007-06-18 |
| 1033388681 | Oregon Eye Specialists, PC | Eyewear Supplier (Equipment, not the service) | 19250 Sw 65th Ave Ste 215, Tualatin, OR 97062-7707 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| 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 |
|---|---|---|---|---|
| 1245255686 | Ricky R Burk | Optometrist | 19801 Sw 72nd Ave Ste 150, Tualatin, OR 97062-8347 | 2006-07-13 |
| 1497700074 | Salisa K Williams | Optometrist | 19801 Sw 72nd Ave, Tualatin, OR 97062-8351 | 2006-05-23 |
| 1245717792 | Chris Omar Jamus | Optometrist | 19200 Sw Martinazzi Ave, Tualatin, OR 97062-6357 | 2018-07-26 |
| 1023370939 | Annie Ya-yen Liang | Optometrist | 19200 Sw Martinazzi Ave, Tualatin, OR 97062-6357 | 2012-06-15 |
| 1629165980 | Christene Frances Gross | Optometrist | 19250 Sw 65th Ave, Ste 215, Tualatin, OR 97062-7707 | 2006-10-06 |
| 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 | ||||
Please comment or provide details below to improve the information on MR. KEVIN RIEDEL.
| 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.