NPI 1902296817 · live from the CMS NPI Registry
Barnes Elite Eye Care, P.C.
Optometrist in Portland, OR. National Provider Identifier 1902296817, active.
NPI record
| NPI | 1902296817 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 11750 Sw Barnes Rd Ste 120, Portland, OR 97225 |
| Practice phone | 503-646-5194 |
| Enumerated | January 30, 2015 |
| Last updated | November 13, 2025 |
| Authorized official | Matthew Schissler, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3134AT (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.