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

Kenneth James Erdman, OD

Individual provider Optometrist · NPI 1699808931

Kenneth James Erdman, OD is an Optometrist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
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

12300 SE 82nd Ave Jcpenney Optical
Portland, OR 97266-7717
Phone: (503) 653-5935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2989T (OR)

Record details

NPI number1699808931
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 8, 2007
Mailing address5722 Nw 203rd Pl, Portland, OR 97229-7187

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