PERSONALEYES, LLC (NPI# 1689189151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689189151 |
| Entity Type | Organization |
| Organization Name | PERSONALEYES, LLC |
| Other Organization Name | WILLOW CREEK EYE CARE |
| Practice Address |
14740 Nw Cornell Rd Portland OR 97229-5496 |
| Mailing Address |
1000 Sw Indian Ave Redmond OR 97756-3039 |
| Practice Telephone | 5036458002 |
| Practice Fax Number | 5036459455 |
| Mailing Telephone | 5415482488 |
| Mailing Fax Number | 5415485334 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Authorized Official Name | TODD SHELDON (PRESIDENT) |
| Authorized Official Telephone | 5415482488 |
| Authorized Official Credential | OD, MBA, FAAO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
2823ATI | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Willow Creek Eye Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PERSONALEYES, LLC | 14740 Nw Cornell Rd Ste 110, Portland, OR 97229 |
| Street Address |
14740 NW CORNELL RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-5496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548257413 | Laura L Matin | Dentist | 14740 Nw Cornell Rd, #120, Portland, OR 97229-5496 | 2005-10-05 |
| 1801931605 | Paola F Vitiello | Optometrist | 14740 Nw Cornell Rd, 110, Portland, OR 97229-5496 | 2007-02-20 |
| 1932283181 | Ritch L Seifert | Chiropractor | 14740 Nw Cornell Rd, Suite 190, Portland, OR 97229-5496 | 2006-10-24 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
| 1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
| 1619234317 | Derek Libby Do | Clinic/Center | 97a Exchange St Ste 201, Portland, ME 04101-5016 | 2012-04-19 |
| 1447563010 | Jeanette Cummings, Dc, PC | Clinic/Center | 516 Se Morrison Street, Suite 1110, Portland, OR 97214-2390 | 2010-07-23 |
| 1982921607 | Naveen Sachdev Md Inc | Clinic/Center | 9155 Sw Barnes Rd Ste 417, Portland, OR 97225-6631 | 2010-04-21 |
| 1538298336 | Oregon Sleep and Pulmonary, LLC | Clinic/Center | 2228 Nw Pettygrove St Ste 150, Portland, OR 97210-2761 | 2007-03-05 |
| 1538191606 | Northwest Neurological Specialists PC | Clinic/Center | 1585 Sw Marlow Ave Ste 110, Portland, OR 97225-5177 | 2006-07-07 |
| 1659939296 | The Travelling Tao | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1851810626 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-09-13 |
| 1114372653 | Oregon Interventional Pain Consultants, LLC | Clinic/Center | 1849 Nw Kearney St, Suite 201, Portland, OR 97209-1453 | 2016-05-03 |
| Find all providers in PORTLAND | ||||
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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.