Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexa Nicole Thavorn I, OD

Individual provider Optometrist · NPI 1083205074

Alexa Nicole Thavorn I, OD is an Optometry in Portland, Oregon. Graduated from Pacific University - College of Optometry in 2020, 6 years ago. Practices with Hoban Vision Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

11805 NW Cedar Falls Dr Ste 105
Portland, OR 97229-2780
Phone: (503) 747-0265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ATI4556 (OR)

Record details

NPI number1083205074
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 1, 2021
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Hoban Vision Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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