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LUKE BORAN OD
NPI 1386329290
Optometrist in Kelso, WA

Active since June 19, 2023PECOS EnrolledAccepts Medicare Assignment
209 W MAIN ST STE 100, KELSO, WA 98626(360) 414-8000(360) 414-1100 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2025, Jun 19, 2023 (2 updates tracked since 2023).

About Luke Boran Od NPPES

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

LUKE BORAN OD (NPI 1386329290) is an individual optometrist in Kelso, Washington, licensed in Washington (70010268) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2023).

NPPES Registry Identity

NPI1386329290
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLUKE BORANCredential: OD
Location Address209 W MAIN ST STE 100Kelso, WA 98626-1368
Mailing AddressPo Box 89Kelso, WA 98626-0102 · (360) 414-8000 · Fax (360) 414-1100
Phone(360) 414-8000
Fax(360) 414-1100
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2023
Enumeration DateJune 19, 2023
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1386329290 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 WA · 70010268✔ Licensed in OR · 4686ATI
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.
209 W MAIN ST STE 100, Kelso, WA 98626
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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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luke Boran Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537528500
PECOS Enrollment IDI20251022001186
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Luke Boran reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Three Rivers Eye Care, Ps
Same address
Optometrist
209 WEST MAIN ST., SUITE 100
Kelso, WA 98626
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1104094143 (360) 414-8000
Mountain View Eye Care Center P C
42 mi
Optometrist
1405 SE 164TH AVE STE 102
Vancouver, WA 98683
  • Reassigned Medicare billing, Washington enrollment
  • 5 clinicians in this Medicare group
NPI 1093035305 (360) 253-4405
Lifetime Vision Source Of Lebanon LLC
111 mi
Optometrist
90 MARKET ST, STE 20
Lebanon, OR 97355
  • Reassigned Medicare billing, Oregon enrollment
  • 5 clinicians in this Medicare group
NPI 1710168877 (541) 451-1144

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services31 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
20 services20 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Luke Boran's NPI number?

The NPI number for Luke Boran is 1386329290. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Luke Boran located?

Luke Boran practices at 209 W Main St Ste 100, Kelso, WA 98626. The listed phone number is (360) 414-8000.

What is Luke Boran's specialty?

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

Is Luke Boran enrolled in Medicare?

Yes. Luke Boran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Luke Boran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Boran reassigns Medicare benefits to 3 organizations: Three Rivers Eye Care, Ps (Kelso, WA), Mountain View Eye Care Center P C (Vancouver, WA) and Lifetime Vision Source Of Lebanon LLC (Lebanon, OR). Each 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 Luke Boran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Boran 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 Moda Health Plan, Inc. and 3 other insurers list Luke Boran 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 Luke Boran was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.