OrganizationActive
Gresham Vision Center, Inc
NPI 1619022076 · Optometrist · Gresham, OR
Provider details
- NPI number
- 1619022076
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- R104410
- Organization subpart
- Yes
- Authorized official
- Diane Gardner, Office Manager(503) 665-3813
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
125 Nw Miller Ave
Gresham, OR 97030-7225
Phone: (503) 665-3813
Street-level locationGet directions
Mailing address
125 Nw Miller Ave
Gresham, OR 97030-7225
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2015-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.