| Northwest Eye Care Professionals | |
|
15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 | |
| (503) 657-0321 | |
| (503) 657-7066 |
| Full Name | Northwest Eye Care Professionals |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15259 Se 82nd Dr, Clackamas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669856902 | NPI | - | NPPES |
| 0213843 | Other | WA | WORKER'S COMPENSATOIN |
| 282442 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1620ATI (Oregon) | Primary |
| 152WV0400X | Optometrist - Vision Therapy | 1620ATI (Oregon) | Secondary |
| Provider Name | John W Reski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326200809 PECOS PAC ID: 4981771995 Enrollment ID: I20080917000224 |
| Provider Name | Daniel E Sims |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891827101 PECOS PAC ID: 2769531789 Enrollment ID: I20090522000104 |
| Provider Name | Rachel Anne Jorgensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184936312 PECOS PAC ID: 9032235973 Enrollment ID: I20100928001065 |
| Provider Name | Bruce R Wojciechowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437247533 PECOS PAC ID: 7517900202 Enrollment ID: I20101227000652 |
| Provider Name | Julia I Sirianni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023344124 PECOS PAC ID: 3577713528 Enrollment ID: I20121029000151 |
| Provider Name | Macson Y Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740251529 PECOS PAC ID: 9133149198 Enrollment ID: I20161109001290 |
| Provider Name | Elizabeth A Powers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568825156 PECOS PAC ID: 9830444967 Enrollment ID: I20180613003014 |
| Provider Name | Kevin J Dittlinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114411451 PECOS PAC ID: 7214283647 Enrollment ID: I20191107002872 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Eye Care Professionals 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 Ph: (503) 657-0321 | Northwest Eye Care Professionals 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 Ph: (503) 657-0321 |
Derik Hardesty, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12000 Se 82nd Ave, Clackamas, OR 97086 Phone: 503-659-5947 | |
Dr. Julia Sirianni, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Allie De La Cruz, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 | |
Jonathan Jay Attiyah, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Rachel A Jorgensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 | |
John William Reski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Mark Edward Mclain, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12100 Se Stevens Ct Suite 106, Clackamas, OR 97086 Phone: 503-353-7269 |