SUNSET EYE CLINIC LLC
NPI 1174549364
Optometrist in Beaverton, OR

Active since July 14, 2006
1865 NW 169TH PL, SUITE 105, BEAVERTON, OR 97006(503) 533-8441(503) 533-8403 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sunset Eye Clinic Llc NPPES

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

SUNSET EYE CLINIC LLC (NPI 1174549364) is a healthcare organization registered as an optometrist in Beaverton, Oregon and active in the NPI registry since July 2006. The organization lists Kenny B Lee, Partner, as its authorized official.

NPPES Registry Identity

NPI1174549364
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSUNSET EYE CLINIC LLC
Location Address1865 NW 169TH PL, SUITE 105Beaverton, OR 97006-7327
Mailing Address1865 Nw 169th Pl, Suite 105Beaverton, OR 97006-7327 · (503) 533-8441 · Fax (503) 533-8403
Fax(503) 533-8403
Organization SubpartNo
Authorized OfficialKenny B LeePartner · (503) 533-8441
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 28, 2009
✔ NPI 1174549364 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 · 2877ATI
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.
1865 NW 169TH PL, Beaverton, OR 97006

Other Identifiers 3

Medicaid270841OR
Medicare ID-Type UnspecifiedR113798OR
Medicare ID-Type UnspecifiedR132728OR

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunset Eye Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Sunset Eye Clinic LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1619905866
1865 NW 169TH PL SUITE 105
Beaverton, OR 97006
(503) 533-8441
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1992741441
1865 NW 169TH PL
Beaverton, OR 97006
(503) 533-8441
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1538047527
1865 NW 169TH PL STE 105
Beaverton, OR 97006
(503) 533-8441
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1679851752
1865 NW 169TH PL STE 105
Beaverton, OR 97006
(503) 533-8441
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1700991916
3710 SW US VETERANS HOSPITAL RD
Portland, OR 97239
(503) 220-8262
✔ PECOS✔ Accepts Medicare8.6 mi
Optometry
NPI 1245717792
19200 SW MARTINAZZI AVE
Tualatin, OR 97062
(503) 692-5040
✔ PECOS✔ Accepts Medicare11 mi

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 Sunset Eye Clinic LLC's NPI number?

The NPI number for Sunset Eye Clinic LLC is 1174549364. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Sunset Eye Clinic LLC located?

Sunset Eye Clinic LLC is located at 1865 NW 169th Pl Suite 105, Beaverton, OR 97006. The listed phone number is (503) 533-8441.

What is Sunset Eye Clinic LLC's specialty?

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

Is Sunset Eye Clinic LLC enrolled in Medicare?

Yes. Sunset Eye Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunset Eye Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Sunset Eye Clinic 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, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sunset Eye Clinic LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Sunset Eye Clinic 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 Sunset Eye Clinic LLC was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.