Healthcare Provider Details

I. General information

NPI: 1649183096
Provider Name (Legal Business Name): WAYPOINT EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9370 SW GREENBURG RD STE 602
TIGARD OR
97223-5429
US

IV. Provider business mailing address

4931 SW 76TH AVE STE 261
PORTLAND OR
97225-1805
US

V. Phone/Fax

Practice location:
  • Phone: 503-928-4276
  • Fax:
Mailing address:
  • Phone: 503-928-4276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician
License Number
License Number State

VIII. Authorized Official

Name: SOPHIA FANG
Title or Position: MANAGING MEMBER
Credential: MD, MS
Phone: 503-928-4276