OrganizationActive
Broadway Vision World
NPI 1295915700 · Optometrist · Portland, OR
Provider details
- NPI number
- 1295915700
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kamelia Massih, Ceo(503) 223-6655
- License
- 1863T (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1962 Sw Broadway
Portland, OR 97201-6710
Phone: (503) 223-6655
Fax: (503) 233-6657
Street-level locationGet directions
Mailing address
Po Box 108
Beaverton, OR 97075-0108
Registry dates
- Enumerated
- 2007-11-13
- Last updated
- 2007-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.