KEIZER VISION CLINIC
NPI 1083690655
Optometrist in Keizer, OR

Active since December 15, 2005
4350 CHERRY AVE NE, KEIZER, OR 97303(503) 393-6060(503) 393-5096 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1083690655
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKEIZER VISION SOURCE PC
Location Address4350 CHERRY AVE NEKeizer, OR 97303-4855
Mailing Address4350 Cherry Ave NeKeizer, OR 97303-4855 · (503) 393-6060 · Fax (503) 393-5096
Fax(503) 393-5096
Organization SubpartNo
Authorized OfficialCynthia S StrawnPresident · (503) 393-6060
Enumeration DateDecember 15, 2005
Last NPPES UpdateMarch 8, 2012
NPI 1083690655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4350 CHERRY AVE NE, Keizer, OR 97303

Other Names 1

Doing Business AsKeizer Vision Clinic

Other Identifiers 2

Medicare NSC5378660001OR
Medicare PINR132167OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 PC

Does 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.

PTAN (Medicare Supplier Number)20581415
Medicare Participant SinceMarch 28, 2005
Supplier Location4350 Cherry Ave NEKeizer, OR 97303
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4350 CHERRY AVE NE
KEIZER, OR 97303
Optometrist
4350 CHERRY AVE NE
KEIZER, OR 97303

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.

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 BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon 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.