TANASBOURNE OPTICAL
NPI 1275628869
Eyewear Supplier in Hillsboro, OR
NPI Status: Active since October 03, 2006
Contact Information
18650 NW CORNELL RD
SUITE 112
HILLSBORO, OR
ZIP 97124
Phone: (503) 645-8808
Fax: (503) 693-0441
- Organization
- Eyewear Supplier
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 38D2059832
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 07-10-2027
About TANASBOURNE OPTICAL
This page provides the complete NPI Profile along with additional information for Tanasbourne Optical, a provider established in Hillsboro, Oregon operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1275628869 assigned on October 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Tanasbourne Optical. The authorized official of this NPI record is Dr. Timothy L Gard Md (President)
- NPI
- 1275628869
- Provider Legal Name
- HILLSBORO EYE CLINIC, PC
- Other Organization Name
- TANASBOURNE OPTICAL
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 18650 NW CORNELL RD SUITE 112 HILLSBORO, OR 97124
- Location Phone
- (503) 645-8808
- Location Fax
- (503) 693-0441
- Mailing Address
- 512 E MAIN ST HILLSBORO, OR 97123
- Mailing Phone
- (503) 640-3708
- Mailing Fax
- (503) 693-0441
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-03-2006
- Last Update Date
- 06-16-2022
- Code Navigator
Tanasbourne Optical is a medicare supplier with PTAN 20641943 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- License State
- OR
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 278569 | MEDICAID (05) | OR |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20641943
- Accepts Medicare Assignment
- YES
- Specialities List
- Optician.
- Provider Type List
- PHYSICIAN – OPHTHALMOLOGY.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2059832
- Facility Type
- Practitioner Other
- Certificate Effective Date
- July 11, 2025
- Certificate Expiration Date
- July 10, 2027
- Laboratory Director
- NIPOON DAVE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tanasbourne Optical to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275628869, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
HILLSBORO, OR 97124
HILLSBORO, OR 97124
HILLSBORO, OR 97124
HILLSBORO, OR 97124
HILLSBORO, OR 97124
HILLSBORO, OR 97124
HILLSBORO, OR 97124
HILLSBORO, OR 97124
HILLSBORO, OR 97124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275628869, enumerated as an "organization" on October 03, 2006.
The provider is located at 18650 NW CORNELL RD SUITE 112 HILLSBORO, OR 97124 and the phone number is (503) 645-8808.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
