IndividualActive
Timothy Speck, O.D.
NPI 1093067324 · Optometrist · Forest Grove, OR
Provider details
- NPI number
- 1093067324
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3631ATI (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2144 Hawthorne St
Apt 56
Forest Grove, OR 97116-1749
Phone: (217) 416-9452
Street-level locationGet directions
Mailing address
1406 Ne 69th Ave
Portland, OR 97213-5302
Registry dates
- Enumerated
- 2012-10-10
- Last updated
- 2015-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.