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OSWEGO OPTIQUE INC
NPI 1376680454
Optometrist in Lake Oswego, OR

Active since January 30, 2007
466 2ND ST, LAKE OSWEGO, OR 97034(503) 636-6900(503) 636-2985 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Oswego Optique Inc NPPES

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

OSWEGO OPTIQUE INC (NPI 1376680454) is a healthcare organization registered as an optometrist in Lake Oswego, Oregon and active in the NPI registry since January 2007. The organization lists Stephen J Olsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1376680454
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOSWEGO OPTIQUE INC
Location Address466 2ND STLake Oswego, OR 97034-3127
Mailing Address466 2nd StLake Oswego, OR 97034-3127 · (503) 636-6900 · Fax (503) 636-2985
Phone(503) 636-6900
Fax(503) 636-2985
Organization SubpartNo
Authorized OfficialStephen J OlsenOwner · (503) 636-6900
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 31, 2015
✔ NPI 1376680454 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 · 1934T
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.
466 2ND ST, Lake Oswego, OR 97034
Open in Google Maps ↗

Other Identifiers 1

Medicare PINR136201OR

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Oswego Optique Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Oswego Optique Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Stephen Olsen, O.D.
Optometry
NPI 1730172438
466 2ND ST
Lake Oswego, OR 97034
(503) 636-6900
✔ PECOS✔ Accepts MedicareSame address
Shari Mace, OD
Optometry
NPI 1760466015
4035 MERCANTILE DR SUITE 216
Lake Oswego, OR 97035
(503) 636-2551
✔ PECOS✔ Accepts Medicare2.6 mi

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Oswego Optique Inc carries, from the Medicare DMEPOS supplier directory.

Oswego Optique Inc

DMEPOS supplier · Lake Oswego, OR
✔

Accepts Medicare assignment

Oswego Optique Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20570627
Medicare Participant SinceJanuary 1, 2007
Supplier Location466 2nd StLake Oswego, OR 97034
Phone(503) 636-6900
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Oswego Optique Inc's NPI number?

The NPI number for Oswego Optique Inc is 1376680454. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Oswego Optique Inc located?

Oswego Optique Inc is located at 466 2nd St, Lake Oswego, OR 97034. The listed phone number is (503) 636-6900.

What is Oswego Optique Inc's specialty?

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

Is Oswego Optique Inc enrolled in Medicare?

Yes. Oswego Optique Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oswego Optique Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Oswego Optique Inc. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oswego Optique Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Oswego Optique Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Oswego Optique Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 5 other insurers list Oswego Optique Inc 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 Oswego Optique Inc was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.