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BRIDGETOWN OPTOMETRIC ASSOCIATES LLC
NPI 1336515741
Optometrist in Portland, OR

Active since August 19, 2015CLIA 38D2277893 · Waiver
12923 NW CORNELL RD STE 203, PORTLAND, OR 97229(503) 645-5076 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2022, Jun 13, 2019 (2 updates tracked since 2019).

About Bridgetown Optometric Associates Llc NPPES

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

BRIDGETOWN OPTOMETRIC ASSOCIATES LLC (NPI 1336515741) is a healthcare organization registered as an optometrist in Portland, Oregon and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through March 6, 2027, maintains a secondary practice location in Tigard, and lists Michael D Olma, Partner, as its authorized official.

NPPES Registry Identity

NPI1336515741
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBRIDGETOWN OPTOMETRIC ASSOCIATES LLC
Location Address12923 NW CORNELL RD STE 203Portland, OR 97229-5834
Mailing Address12923 Nw Cornell Rd Ste 203Portland, OR 97229-5834 · (503) 645-5076
Phone(503) 645-5076
Organization SubpartNo
Authorized OfficialMichael D OlmaPartner · (702) 540-1333
Enumeration DateAugust 19, 2015
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1336515741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OR · 3608ATI✔ Licensed in OR · 3577ATI
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.

12923 NW CORNELL RD STE 203, Portland, OR 97229
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Secondary Practice Location 1

Location 111577 SW Pacific HwyTigard, OR 97223-8671 · Phone (503) 968-5249

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, BridgeSpan Health Company and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 38D2277893

Bridgetown Optometric Associates · Portland, OR
Active · expires Mar 6, 2027
CLIA Number38D2277893
Laboratory TypePractitioner Other
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorMichael Olma
Laboratory Phone(503) 645-5078
Laboratory LocationBridgetown Optometric Associates12923 NE Cornell Rd #203, Portland, OR 97229
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. AMAND STEPHEN TASRIPIN O.D.
Optometrist
12923 NW CORNELL RD STE 203
PORTLAND, OR 97229
Washington County (503) 645-5076

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 Bridgetown Optometric Associates LLC's NPI number?

The NPI number for Bridgetown Optometric Associates LLC is 1336515741. It was assigned to this organization in the NPPES registry on August 19, 2015.

Where is Bridgetown Optometric Associates LLC located?

Bridgetown Optometric Associates LLC is located at 12923 NW Cornell Rd Ste 203, Portland, OR 97229. The listed phone number is (503) 645-5076.

What is Bridgetown Optometric Associates LLC's specialty?

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

Does Bridgetown Optometric Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2277893) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bridgetown Optometric Associates LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Bridgetown Optometric Associates 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 Bridgetown Optometric Associates LLC was last updated on March 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.