Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Wyatt Johnson , ABOC

Technician/Technologist - Optician • Pendleton, OR

Active NPI 1831880749 Individual Practitioner Male Practitioner
Practice location in NPPES

2203 Sw Court Pl
Pendleton, OR 978011896

Call 5412762905 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2203 Sw Court Pl

Pendleton, OR 978011896

Telephone 5412762905
Organization at the Same NPPES Address or Phone
Walmart Inc. Facility NPI 1235156381

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pendleton and Oregon

2 active clinicians are listed under Technician/Technologist - Optician with a practice address in Pendleton, OR (82 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-19
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

License # reported to NPPES OR 249306

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Ramatou Kargbo , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1336831031

Nurse Practitioner

NPI 1679982615

Registered Pharmacist

NPI 1700233210

Doctor of Pharmacy (Pharm.D.)

NPI 1154730638

Doctor of Pharmacy (Pharm.D.)

Career & Practice History

NPI enumerated May 19, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2023 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1831880749
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2023
Last Update: May 19, 2023
Sole Proprietor: No

Mailing Address

2203 Sw Court Pl

Pendleton, OR 978011896

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.