PACIFIC UNIVERSITY EYECLINIC BEAVERTON
NPI 1124319009
Optometrist in Beaverton, OR

Q: What is Pacific University's NPI number?

The NPI number for Pacific University is 1124319009. It was assigned to this organization in the NPPES registry on April 26, 2011. The provider is also known as Pacific University Eyeclinic Beaverton.

Q: What is Pacific University's specialty?

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

Active since April 26, 2011CLIA Certified · 2 labs

12600 SW CRESCENT ST, 130, BEAVERTON, OR 97005(503) 352-2020(971) 266-2963 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pacific University Eyeclinic Beaverton NPPES

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

PACIFIC UNIVERSITY EYECLINIC BEAVERTON (NPI 1124319009) is a healthcare organization registered as an optometrist in Beaverton, Oregon and active in the NPI registry since April 2011. The organization holds 2 active CLIA laboratory certificates and lists James Langstraat, Vp Finance & Administration, as its authorized official.

NPPES Registry Identity

NPI1124319009

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePACIFIC UNIVERSITY

Location Address12600 SW CRESCENT ST, 130Beaverton, OR 97005-1693

Mailing Address12600 Sw Crescent St, 130Beaverton, OR 97005-1693 · (503) 352-2020 · Fax (503) 352-2261

Phone(503) 352-2020

Fax(971) 266-2963

Organization SubpartNo

Authorized OfficialJames LangstraatVp Finance & Administration · (503) 352-1621

Enumeration DateApril 26, 2011

Last NPPES UpdateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1124319009 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.

12600 SW CRESCENT ST, Beaverton, OR 97005

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Other Names 1

Other NamePacific University Eyeclinic Beaverton

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 2

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 38D2061876

Pacific University Eye Clinic Beaverton · Beaverton, OR

Active · expires Jul 7, 2027

CLIA Number38D2061876

Laboratory TypeTeaching

Certificate Effective DateJuly 8, 2025

Certificate Expiration DateJuly 7, 2027

Laboratory DirectorWilliam F. Hefner

Laboratory Phone(503) 352-1699

Laboratory LocationPacific University Eye Clinic Beaverton12600 SW Crescent Street, Suite 130, Beaverton, OR 97005

CLIA data matches this NPI record on: Address Name

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

Certificate of Waiver 38D1066590

Pacific University College Of Optometry · Forest Grove, OR

Active · expires Mar 27, 2027

CLIA Number38D1066590

Laboratory TypeMobile Laboratory

Certificate Effective DateMarch 28, 2025

Certificate Expiration DateMarch 27, 2027

Laboratory DirectorWilliam F. Hefner

Laboratory Phone(503) 352-2020

Laboratory LocationPacific University College Of Optometry2043 College Way, Forest Grove, OR 97116

CLIA data matches this NPI record on: Name Phone

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

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.

VIRGINIA GARCIA MEMORIAL HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))

12600 SW CRESCENT ST, SUITE 190
BEAVERTON, OR 97005

Washington County (503) 352-2354

DR. BRITTANY L FOX DMD

Dentist (General Practice)

12600 SW CRESCENT ST
BEAVERTON, OR 97005

Washington County (503) 718-3675

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 1124319009. It was assigned to this organization in the NPPES registry on April 26, 2011. The provider is also known as Pacific University Eyeclinic Beaverton.

Where is Pacific University located?

Pacific University is located at 12600 SW Crescent St 130, Beaverton, OR 97005. The listed phone number is (503) 352-2020.

What is Pacific University's specialty?

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

Does Pacific University hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.