PACIFIC UNIVERSITY EYECLINIC CORNELIUS
NPI 1124225842
Optometrist in Cornelius, OR

Q: What is Pacific University's NPI number?

The NPI number for Pacific University is 1124225842. It was assigned to this organization in the NPPES registry on June 27, 2007. The provider is also known as Pacific University Eyeclinic Cornelius.

Q: What is Pacific University's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 27, 2007CLIA 38D2061874 · Waiver

1151 N ADAIR ST STE 104, CORNELIUS, OR 97113(503) 352-8543(971) 266-2960 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Aug 22, 2020 (2 updates tracked since 2020).

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About Pacific University Eyeclinic Cornelius NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC UNIVERSITY EYECLINIC CORNELIUS (NPI 1124225842) is a healthcare organization registered as an optometrist in Cornelius, Oregon and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Lisa Downing, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1124225842

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePACIFIC UNIVERSITY

Location Address1151 N ADAIR ST STE 104Cornelius, OR 97113-8900

Mailing Address2043 College WayForest Grove, OR 97116-1756 · (503) 352-8543 · Fax (971) 266-2960

Phone(503) 352-8543

Fax(971) 266-2960

Organization SubpartNo

Authorized OfficialLisa DowningCompliance Officer · (503) 352-2663

Enumeration DateJune 27, 2007

Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration

NPPES CertifiedNovember 13, 2023

✔ NPI 1124225842 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.

1151 N ADAIR ST STE 104, Cornelius, OR 97113

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Other Names 1

Other NamePacific University Eyeclinic Cornelius

Other Identifiers 1

Medicaid274669OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2061874

Pacific University Eye Clinic Cornelius · Cornelius, OR

Active · expires Jul 7, 2027

CLIA Number38D2061874

Laboratory TypeTeaching

Certificate Effective DateJuly 8, 2025

Certificate Expiration DateJuly 7, 2027

Laboratory DirectorWilliam F. Hefner

Laboratory Phone(503) 352-8543

Laboratory LocationPacific University Eye Clinic Cornelius1151 N Adair Street, Suite 104, Cornelius, OR 97113

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Pacific University's NPI number?

The NPI number for Pacific University is 1124225842. It was assigned to this organization in the NPPES registry on June 27, 2007. The provider is also known as Pacific University Eyeclinic Cornelius.

Where is Pacific University located?

Pacific University is located at 1151 N Adair St Ste 104, Cornelius, OR 97113. The listed phone number is (503) 352-8543.

What is Pacific University's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Pacific University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2061874) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pacific University accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Pacific University 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 Pacific University was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.