PARKROSE VISION, LLC
NPI 1144847260
Clinic/Center in Portland, OR
About Parkrose Vision, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARKROSE VISION, LLC (NPI 1144847260) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since July 2020. The organization lists Haley Kim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Parkrose Vision, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Parkrose Vision, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Parkrose Vision, LLC's NPI number?
The NPI number for Parkrose Vision, LLC is 1144847260. It was assigned to this organization in the NPPES registry on July 6, 2020.
Where is Parkrose Vision, LLC located?
Parkrose Vision, LLC is located at 4880 NE 104th Ave, Portland, OR 97220. The listed phone number is (503) 943-0699.
What is Parkrose Vision, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Parkrose Vision, LLC enrolled in Medicare?
Yes. Parkrose Vision, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Parkrose Vision, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Parkrose Vision, LLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Parkrose Vision, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee and PacificSource Health Plans list Parkrose Vision, LLC 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 Parkrose Vision, LLC was last updated on May 22, 2024. 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.
# Parkrose Vision, Llc · NPI 1144847260
Clinic/Center organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since July 6, 2020.
## Identity
- **NPI:** 1144847260 (Entity type: Organization)
- **Enumerated:** July 6, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** Yes (part of M. Kwon. P.c., Inc.)
- **Authorized official:** Haley Kim, OWNER
## Practice location
- **Address:** 4880 NE 104TH AVE, Portland, OR 97220
- **Phone:** (503) 943-0699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2024
- **Other identifiers:** Medicaid 500784142 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1144847260) · Data from the CMS NPPES public registry.