Address: 11805 Nw Cedar Falls Dr Ste 105, Portland, OR 97229-2780

ALEXA NICOLE THAVORN I (NPI# 1083205074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083205074
Entity Type Individual
Gender Female
Credential OD
Practice Address 11805 Nw Cedar Falls Dr Ste 105
OR 97229-2780
Practice Telephone 5037470265
Mailing Address 2621 Ne 7th Ave Apt 404
OR 97212-3179
Mailing Telephone 7144782676
Certification Date 2021-02-01
Enumeration Date 2021-02-01
Last Update Date 2021-02-01
Is Sole Proprietor N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 152W00000X Optometrist ATI4556 OR Eye and Vision Services Providers

Office Location

Street Address 11805 NW CEDAR FALLS DR STE 105
State OR
Zip Code 97229-2780

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558848333 Kelsey Mcevoy Dentist 11805 Nw Cedar Falls Dr Ste 101, Portland, OR 97229-2780 2018-07-24

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1548858442 Cady Mathews Pharmacist 24 Nw Lost Springs Terr #36, Portland, OR 97229 2021-01-06
1851919906 Anjana Rajan Counselor Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-07-06
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102689 Raquel A Bishop Nurse Practitioner · Family 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 2019-09-10
1669026134 Alexandra Elizabeth Lodwig Speech-Language Pathologist 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 2019-08-01
1003316043 Jenny Lavonne Thom · Jenny Lavonne Miller Counselor · Mental Health 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 2018-02-16
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1568988913 Hannah Hendrix Klingelheber Speech-Language Pathologist 15605 Nw Ryegrass St., Portland, OR 97229 2017-08-17
1548791213 Adeline Mitchell Registered Nurse 14600 Sw Cornell Rd., Portland, OR 97229 2017-03-24
1538610670 Crystal Graves · Crystal L Mesillas Peer Specialist 14600 Nw Cornell, Portland, OR 97229 2016-10-24
Find all providers in zip 97229

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376162008 Eyestrong, LLC 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 2020-04-13
1740816768 Allison Kuo 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 2020-03-21
1194355123 Irina Stignei Od PC · Tabor Vision 1433 Ne 69th Ave, Portland, OR 97213-5301 2020-01-17
1689235160 Maja Krsmanovic 14 Buca Run, Portland, ME 04103-1427 2019-06-25
1407416225 Sarah Fowler 605 S Broadway St, Portland, TN 37148-1619 2019-06-14
1720645302 Ryan Steve Kucala 520 Nw Lost Springs Ter # Unite203, Portland, OR 97229-6655 2019-05-20
1023575925 Pacific Eye Group, PC · Pacific Eye Group, PC 1006 Lloyd Ctr, Portland, OR 97232-1266 2019-02-27
1811472749 Carole Tong 8136 Se Foster Rd Ste 260, Portland, OR 97206-4288 2018-09-26
1528580354 Dr. Han Tran & Associates, P.C. · 82nd Eyecare 12100 Se 82nd Ave, Portland, OR 97086-7755 2017-07-13
1306384128 Daniel & Max, LLC · Stanton Optical 8795 Sw Scholls Ferry Rd, Portland, OR 97223-4409 2017-02-01
Find all providers in PORTLAND


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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.