PACIFIC UNIVERSITY EYECLINIC CORNELIUS
NPI 1124225842
Optometrist in Cornelius, OR
NPI Status: Active since June 27, 2007
Contact Information
1151 N ADAIR ST STE 104
CORNELIUS, OR
ZIP 97113
Phone: (503) 352-8543
Fax: (971) 266-2960
- Organization
- Optometrist
- Accepts Insurance
- CLIA Number: 38D2061874
- CLIA Cert. Type: Other - TEACHING
- CLIA Exp. Date: 07-07-2027
About PACIFIC UNIVERSITY EYECLINIC CORNELIUS
This page provides the complete NPI Profile along with additional information for Pacific University Eyeclinic Cornelius, a provider established in Cornelius, Oregon operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1124225842 assigned on June 2007. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Pacific University Eyeclinic Cornelius operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Pacific University Eyeclinic Cornelius. The authorized official of this NPI record is Lisa Downing (Compliance Officer)
- NPI
- 1124225842
- Provider Legal Name
- PACIFIC UNIVERSITY
- Other Organization Name
- PACIFIC UNIVERSITY EYECLINIC CORNELIUS
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1151 N ADAIR ST STE 104 CORNELIUS, OR 97113
- Location Phone
- (503) 352-8543
- Location Fax
- (971) 266-2960
- Mailing Address
- 2043 COLLEGE WAY FOREST GROVE, OR 97116
- Mailing Phone
- (503) 352-8543
- Mailing Fax
- (971) 266-2960
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-27-2007
- Last Update Date
- 11-13-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License State
- OR
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6500 Individual Connect - EPO
- Silver 6500 Legacy - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 274669 | MEDICAID (05) | OR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2061874
- Facility Type
- Other - TEACHING
- Certificate Effective Date
- July 08, 2025
- Certificate Expiration Date
- July 07, 2027
- Laboratory Director
- WILLIAM F. HEFNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific University Eyeclinic Cornelius to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PACIFIC UNIVERSITY EYECLINIC CORNELIUS
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124225842, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124225842, enumerated as an "organization" on June 27, 2007.
The provider is located at 1151 N ADAIR ST STE 104 CORNELIUS, OR 97113 and the phone number is (503) 352-8543.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
