| Hillsboro Vision Clinic | |
|
5317 E Main St Hillsboro OR 97123-6447 | |
| (503) 648-5522 | |
| (503) 844-9334 |
| Full Name | Hillsboro Vision Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5317 E Main St, Hillsboro, Oregon |
| Authorized Official Name and Position | Matthew Robert Perry (PRESIDENT) |
| Authorized Official Contact | 5036485522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillsboro Vision Clinic 5317 E Main St Hillsboro OR 97123-6447 Ph: (503) 648-5522 | Hillsboro Vision Clinic 5317 E Main St Hillsboro OR 97123-6447 Ph: (503) 648-5522 |
| NPI Number | 1518003847 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 11/26/2022 |
| Medicare PECOS PAC ID | 7416052261 |
|---|---|
| Medicare Enrollment ID | O20070424000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518003847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1938ATI (Oregon) | Primary |
| Provider Name | Toby L Andreasen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174517098 PECOS PAC ID: 2961468814 Enrollment ID: I20041202000882 |
| Provider Name | Matthew R Perry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518952985 PECOS PAC ID: 8820193923 Enrollment ID: I20070418000455 |
| Provider Name | Rachael N Kenyon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821307844 PECOS PAC ID: 1850571100 Enrollment ID: I20120724000705 |
| Provider Name | Drew M Perry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548715709 PECOS PAC ID: 3870862931 Enrollment ID: I20170914003411 |
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