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Broadway Vision World

Optometrist in Portland, OR · enumerated 2007 · authorized official Kamelia Massih, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295915700

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Registry record

Entity type Organization (Type 2)
Legal business name Broadway Vision World
Practice address 1962 Sw Broadway, Portland, OR, 97201
Phone (503) 223-6655
Fax (503) 233-6657
Enumeration date Nov 13, 2007
Last updated in NPPES Nov 13, 2007

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 1863T (OR) Primary

Authorized official

Name Kamelia Massih
Title Ceo
Phone (503) 223-6655

Other identifiers

Identifier Type State Issuer
013354 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Broadway Vision World?
Broadway Vision World is registered in NPPES as a Optometrist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-13.