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BROADWAY VISION WORLD
NPI 1295915700
Optometrist in Portland, OR

Active since November 13, 2007
1962 SW BROADWAY, PORTLAND, OR 97201(503) 223-6655(503) 233-6657 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Vision World NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY VISION WORLD (NPI 1295915700) is a healthcare organization registered as an optometrist in Portland, Oregon and active in the NPI registry since November 2007. The organization lists Kamelia Massih, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295915700
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBROADWAY VISION WORLD
Location Address1962 SW BROADWAYPortland, OR 97201-6710
Mailing AddressPo Box 108Beaverton, OR 97075-0108 · (503) 223-6655 · Fax (503) 223-6657
Phone(503) 223-6655
Fax(503) 233-6657
Organization SubpartNo
Authorized OfficialKamelia MassihCeo · (503) 223-6655
Enumeration DateNovember 13, 2007
✔ NPI 1295915700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OR · 1863T
Definition
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.
1962 SW BROADWAY, Portland, OR 97201
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Other Identifiers 2

Medicaid013354OR
Medicare UPIN13772OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW JEREMY AKER O.D.
Optometrist
1962 SW BROADWAY
PORTLAND, OR 97201
Multnomah County (503) 227-0632
VISUALEYES OPTOMETRIC, INC
Eyewear Supplier
1962 SW BROADWAY
PORTLAND, OR 97201
Multnomah County (503) 227-0632
DR. DEEPA RAO O.D.
Optometrist
1962 SW BROADWAY
PORTLAND, OR 97201
Multnomah County (503) 223-6655
DR. LANA NGOC LAN TRINH O.D.
Optometrist
1962 SW BROADWAY
PORTLAND, OR 97201
Multnomah County (503) 267-3228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Vision World's NPI number?

The NPI number for Broadway Vision World is 1295915700. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Broadway Vision World located?

Broadway Vision World is located at 1962 SW Broadway, Portland, OR 97201. The listed phone number is (503) 223-6655.

What is Broadway Vision World's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Broadway Vision World was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.