OrganizationActive
Urban Eye Gallery, LLC
NPI 1124466545 · Optometrist · Portland, OR
Provider details
- NPI number
- 1124466545
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Anita Bacon, Managing Member(503) 227-0573
- License
- 3195 ATI (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(77/100 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
921 Sw 16th Ave
Portland, OR 97205-1730
Phone: (503) 227-0573
Street-level locationGet directions
Mailing address
921 Sw 16th Ave
Portland, OR 97205-1730
Other names (DBA / former)
- Doing business as
- Eye Department
Registry dates
- Enumerated
- 2013-06-07
- Last updated
- 2013-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.