MR. DEREK JAMES BUCHANAN NPI 1710048335

NPI Information

NPI: 1710048335
Provider Name: MR. DEREK JAMES BUCHANAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
925 SW TAYLOR ST
PORTLAND, OR
ZIP 97205
Phone: (503) 228-2154
Get Directions

MR. Derek James Buchanan is an optician technician technologist in Portland, OR. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MR. Derek James Buchanan NPI is 1710048335. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

925 SW TAYLOR ST
PORTLAND, OR
ZIP 97205-503
Phone: (503) 228-2154
Fax: (503) 228-4694

The enumeration date for this NPI number is 12/13/2006 and was last updated on 6/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	NOT APPLICABLE	OREGON	No
2	156FX1800X	Technician/Technologist	Optician	NOT APPLICABLE	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J6344	OTHER	OREGON	PACIFIC SOURCE PROVIDER #
2	TIN CONFIDENTIAL	OTHER	OREGON	CARE OREGON PROVIDER
3	1931129593	OTHER	OREGON	VOCATIONAL REHAB VENDOR #
4	049424	MEDICAID	OREGON
5	TIN CONFIDENTIAL	OTHER	OREGON	MESO
6	TIN CONFIDENTIAL	OTHER	OREGON	LIFEWISE
7	TIN CONFIDENTIAL	OTHER	OREGON	SUPERIOR VISION
8	838474000	OTHER	OREGON	REGENCE BCBS PROVIDER #
9	OP1880	OTHER	OREGON	EYEMED PROVIDER #
10	TIN CONFIDENTIAL	OTHER	OREGON	ODS HEALTH PLAN
11	278184	MEDICAID	OREGON
12	0962980002	MEDICARE NSC	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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