PACIFIC UNIVERSITY
NPI 1124319009
Optometrist in Beaverton, OR
About Pacific University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC UNIVERSITY (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 Lisa Downing, Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Pacific University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
50Medicare enrollment records show 50 clinicians reassign Medicare billing to Pacific University, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 50Forest Grove, OR 97116
Forest Grove, OR 97116
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 38D1066590
Pacific University College Of Optometry · Forest Grove, ORCertificate of Waiver 38D2061876
Pacific University Eye Clinic Beaverton · Beaverton, ORFrequently 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 EyeClinic Beaverton and 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.
Is Pacific University enrolled in Medicare?
Yes. Pacific University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific University?
According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 5 Medicare specialties reassign their Medicare billing to Pacific University. 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. The largest specialties are Optometry (42), Qualified Audiologist (4) and Physical Therapist in Private Practice (2). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.
# Pacific University · NPI 1124319009
Optometrist organization in Beaverton, Oregon. Organization record, active in the CMS NPPES registry since April 26, 2011.
## Identity
- **NPI:** 1124319009 (Entity type: Organization)
- **Enumerated:** April 26, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Pacific EyeClinic Beaverton (Other Name); Pacific University EyeClinic Beaverton (Other Name)
- **Organization subpart:** Yes (part of Pacific University)
- **Authorized official:** Lisa Downing, COMPLIANCE OFFICER
## Practice location
- **Address:** 12600 SW CRESCENT ST, 130, Beaverton, OR 97005-1693
- **Phone:** (503) 352-2020 · **Fax:** (971) 266-2963
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 50 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (42), Qualified Audiologist (4), Physical Therapist in Private Practice (2); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1124319009/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2026
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1124319009) · Data from the CMS NPPES public registry.