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KENNETH JAMES ERDMAN OD
NPI 1699808931
Optometrist in Portland, OR

Active since March 14, 2007
12300 SE 82ND AVE, JCPENNEY OPTICAL, PORTLAND, OR 97266(503) 653-5935 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth James Erdman Od NPPES

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

KENNETH JAMES ERDMAN OD (NPI 1699808931) is an individual optometrist in Portland, Oregon, licensed in Oregon (2989T) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1699808931
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKENNETH JAMES ERDMANCredential: OD
Location Address12300 SE 82ND AVE, JCPENNEY OPTICALPortland, OR 97266-7717
Mailing Address5722 Nw 203rd PlPortland, OR 97229-7187
Phone(503) 653-5935
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699808931 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 · 2989T
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.
12300 SE 82ND AVE, Portland, OR 97266
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Other Identifiers 1

Other075 0553367OR · Eyemed

Other Providers at the Same Location NPPES

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

USV OPTICAL INC
Eyewear Supplier
12300 SE 82ND AVE
PORTLAND, OR 97266
Multnomah County (503) 653-5935

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 Kenneth Erdman's NPI number?

The NPI number for Kenneth Erdman is 1699808931. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Kenneth Erdman located?

Kenneth Erdman practices at 12300 SE 82nd Ave Jcpenney Optical, Portland, OR 97266. The listed phone number is (503) 653-5935.

What is Kenneth Erdman'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 Kenneth Erdman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.