KEIZER VISION CLINIC
NPI 1083690655
Optometrist in Keizer, OR
About Keizer Vision Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEIZER VISION CLINIC (NPI 1083690655) is a healthcare organization registered as an optometrist in Keizer, Oregon and active in the NPI registry since December 2005. The organization lists Cynthia S Strawn, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keizer Vision Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Keizer Vision Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Keizer Vision Source carries, from the Medicare DMEPOS supplier directory.
Keizer Vision Source
DMEPOS supplier · Keizer, OROperated by Keizer Vision Source PCDoes not accept Medicare assignment
Keizer Vision Source has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keizer Vision Source PC's NPI number?
The NPI number for Keizer Vision Source PC is 1083690655. It was assigned to this organization in the NPPES registry on December 15, 2005. The provider is doing business as Keizer Vision Clinic.
Where is Keizer Vision Source PC located?
Keizer Vision Source PC is located at 4350 Cherry Ave NE, Keizer, OR 97303. The listed phone number is (503) 393-6060.
What is Keizer Vision Source PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Keizer Vision Source PC enrolled in Medicare?
Yes. Keizer Vision Source PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keizer Vision Source PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Keizer Vision Source PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Keizer Vision Source PC accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Keizer Vision Source does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.
What insurance does Keizer Vision Source PC accept?
Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc. and PacificSource Health Plans and 2 other insurers list Keizer Vision Source PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Keizer Vision Source PC was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keizer Vision Clinic · NPI 1083690655
Optometrist organization in Keizer, Oregon. Organization record, active in the CMS NPPES registry since December 15, 2005.
## Identity
- **NPI:** 1083690655 (Entity type: Organization)
- **Enumerated:** December 15, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Keizer Vision Source Pc
- **Organization subpart:** No
- **Authorized official:** Cynthia Strawn, PRESIDENT
## Practice location
- **Address:** 4350 CHERRY AVE NE, Keizer, OR 97303-4855
- **Phone:** (503) 393-6060 · **Fax:** (503) 393-5096
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2012
- **Other identifiers:** Medicare NSC 5378660001 (OR); Medicare PIN R132167 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1083690655) · Data from the CMS NPPES public registry.