FOREST GROVE FAMILY EYE CARE, P.C.
NPI 1124332069
Optometrist in Forest Grove, OR

Q: What is Forest Grove Family Eye Care, P.C.'s NPI number?

The NPI number for Forest Grove Family Eye Care, P.C. is 1124332069. It was assigned to this organization in the NPPES registry on August 3, 2010.

Q: What is Forest Grove Family Eye Care, P.C.'s specialty?

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

Active since August 03, 2010

2804 19TH AVE, FOREST GROVE, OR 97116(503) 357-2020(503) 357-6995 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Forest Grove Family Eye Care, P.c. NPPES

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

FOREST GROVE FAMILY EYE CARE, P.C. (NPI 1124332069) is a healthcare organization registered as an optometrist in Forest Grove, Oregon and active in the NPI registry since August 2010. The organization lists Eli Richardson, President, as its authorized official.

NPPES Registry Identity

NPI1124332069

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameFOREST GROVE FAMILY EYE CARE, P.C.

Location Address2804 19TH AVEForest Grove, OR 97116-2625

Mailing AddressPo Box 847Forest Grove, OR 97116-0847 · (503) 357-2020 · Fax (503) 357-6995

Phone(503) 357-2020

Fax(503) 357-6995

Organization SubpartNo

Authorized OfficialEli RichardsonPresident · (503) 357-2020

Enumeration DateAugust 3, 2010

Last NPPES UpdateFebruary 29, 2012

✔ NPI 1124332069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OR · 3381ATI

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.

2804 19TH AVE, Forest Grove, OR 97116

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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

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

Forest Grove Family Eye Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Forest Grove Family Eye Care, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Eli Richardson, O.D.

Optometry

NPI 1578877056

2804 19TH AVE
Forest Grove, OR 97116

(503) 357-2020

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Forest Grove Family Eye Care, P.C.'s NPI number?

The NPI number for Forest Grove Family Eye Care, P.C. is 1124332069. It was assigned to this organization in the NPPES registry on August 3, 2010.

Where is Forest Grove Family Eye Care, P.C. located?

Forest Grove Family Eye Care, P.C. is located at 2804 19th Ave, Forest Grove, OR 97116. The listed phone number is (503) 357-2020.

What is Forest Grove Family Eye Care, P.C.'s specialty?

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

Is Forest Grove Family Eye Care, P.C. enrolled in Medicare?

Yes. Forest Grove Family Eye Care, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forest Grove Family Eye Care, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Forest Grove Family Eye Care, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Forest Grove Family Eye Care, P.C. accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Forest Grove Family Eye Care, P.C. 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 Forest Grove Family Eye Care, P.C. was last updated on February 29, 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.