LIGHTHOUSE VISION CARE, P.C.
NPI 1235325176
Optometrist in Tillamook, OR
About Lighthouse Vision Care, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHTHOUSE VISION CARE, P.C. (NPI 1235325176) is a healthcare organization registered as an optometrist in Tillamook, Oregon and active in the NPI registry since September 2007. The organization lists Raymond K Dehaan, Optometrist/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lighthouse Vision Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lighthouse Vision Care, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lighthouse Vision Care, P.C.'s NPI number?
The NPI number for Lighthouse Vision Care, P.C. is 1235325176. It was assigned to this organization in the NPPES registry on September 24, 2007.
Where is Lighthouse Vision Care, P.C. located?
Lighthouse Vision Care, P.C. is located at 310 Stillwell Ave, Tillamook, OR 97141. The listed phone number is (503) 842-6363.
What is Lighthouse Vision Care, P.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lighthouse Vision Care, P.C. enrolled in Medicare?
Yes. Lighthouse Vision Care, P.C. is registered in the Medicare PECOS enrollment system.
When is Lighthouse Vision Care, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lighthouse Vision Care, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lighthouse Vision 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 Lighthouse Vision Care, P.C. accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Lighthouse Vision 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 Lighthouse Vision Care, P.C. was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Lighthouse Vision Care, P.c. · NPI 1235325176
Optometrist organization in Tillamook, Oregon. Organization record, active in the CMS NPPES registry since September 24, 2007.
## Identity
- **NPI:** 1235325176 (Entity type: Organization)
- **Enumerated:** September 24, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Raymond Dehaan, OPTOMETRIST/PRESIDENT
## Practice location
- **Address:** 310 STILLWELL AVE, Tillamook, OR 97141-2119
- **Phone:** (503) 842-6363 · **Fax:** (503) 842-6204
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2007
- **Other identifiers:** Medicare PIN 112116 (OR); Medicare UPIN X71059 (OR); Medicaid 182762 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1235325176) · Data from the CMS NPPES public registry.