MT HOOD VISION CENTER
NPI 1396400313
Optometrist in Gresham, OR

Active since November 04, 2021
22640 SE STARK ST, GRESHAM, OR 97030(503) 667-0441 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2023, Nov 4, 2021 (2 updates tracked since 2021).

About Mt Hood Vision Center NPPES

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

MT HOOD VISION CENTER (NPI 1396400313) is a healthcare organization registered as an optometrist in Gresham, Oregon and active in the NPI registry since November 2021. The organization lists Steve Jung, Owner, as its authorized official.

NPPES Registry Identity

NPI1396400313
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOPTOMETRIC CARE OF OREGON
Location Address22640 SE STARK STGresham, OR 97030-2684
Mailing Address3333 Quality DrRancho Cordova, CA 95670-7985
Organization SubpartYes
Authorized OfficialSteve JungOwner · (541) 338-4844
Enumeration DateNovember 4, 2021
Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1396400313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
22640 SE STARK ST, Gresham, OR 97030

Other Names 1

Doing Business AsMt Hood Vision Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mt Hood Vision Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Mt Hood Vision Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 28
Optometry
NPI 1942228648
22640 SE STARK ST
Gresham, OR 97030
(503) 667-0441
✔ PECOSSame address
Optometry
NPI 1346009255
22640 SE STARK ST
Gresham, OR 97030
(503) 667-0441
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1427802156
1631 NE BROADWAY ST # 210
Portland, OR 97232
(971) 266-4277
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1386953461
14104 NE 200TH AVE
Brush Prairie, WA 98606
(360) 852-1984
✔ PECOS✔ Accepts Medicare14 mi
Optometry
NPI 1558624320
672 NW AUTUMNCREEK WAY APT M303
Beaverton, OR 97006
(314) 304-7484
✔ PECOS22 mi
Optometry
NPI 1952853517
111 HURN RD
Woodland, WA 98674
(360) 901-3055
✔ PECOS32 mi
Optometry
NPI 1831986124
990 BROADWAY ST NE
Salem, OR 97301
(503) 364-0767
✔ PECOS49 mi
Optometry
NPI 1922107283
1329 NW 9TH ST STE 135
Corvallis, OR 97330
(542) 220-1200
✔ PECOS77 mi
Optometry
NPI 1760937510
1597 SW 53RD ST
Corvallis, OR 97333
(541) 757-8844
✔ PECOS✔ Accepts Medicare80 mi
Optometry
NPI 1083391890
1597 SW 53RD ST
Corvallis, OR 97333
(541) 757-8844
✔ PECOS✔ Accepts Medicare80 mi
Optometry
NPI 1225710767
1597 SW 53RD ST
Corvallis, OR 97333
(541) 757-8844
✔ PECOS✔ Accepts Medicare80 mi
Optometry
NPI 1073616983
207 COBURG RD SUITE 105
Eugene, OR 97401
(541) 338-4844
✔ PECOS105 mi
Optometry
NPI 1164601167
1470 SW KNOLL AVE STE 102
Bend, OR 97702
(541) 797-0295
✔ PECOS✔ Accepts Medicare115 mi
Optometry
NPI 1942297445
22 W MAIN ST
Walla Walla, WA 99362
(509) 529-2020
✔ PECOS✔ Accepts Medicare201 mi
Optometry
NPI 1417998006
935 ROYAL AVE
Medford, OR 97504
(541) 779-2211
✔ PECOS✔ Accepts Medicare221 mi
Optometry
NPI 1265753404
1179 N MCDOWELL BLVD
Petaluma, CA 94954
(707) 559-7500
✔ PECOS✔ Accepts Medicare503 mi
Optometry
NPI 1548499882
665 S WOODRUFF AVE
Idaho Falls, ID 83401
(208) 524-4552
✔ PECOS✔ Accepts Medicare533 mi
Optometry
NPI 1881021186
970 MACKENZIE CT
San Jose, CA 95127
(408) 646-6102
✔ PECOS✔ Accepts Medicare564 mi
Optometry
NPI 1477804771
6765 LANKERSHIM BLVD
North Hollywood, CA 91606
(818) 982-0076
✔ PECOS✔ Accepts Medicare810 mi
Optometry
NPI 1346423753
2 JOURNEY STE 103
Aliso Viejo, CA 92656
(949) 362-3500
✔ PECOS✔ Accepts Medicare858 mi
See all 28 clinicians

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 4

Medicare supplier enrollment and the product categories Optometric Care Of Oregon carries, from the Medicare DMEPOS supplier directory.

Optometric Care Of Oregon

DMEPOS supplier · Gresham, OR
✔

Accepts Medicare assignment

Optometric Care Of Oregon 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)20348519
Medicare Participant SinceJuly 5, 2022
Supplier Location22640 SE Stark StGresham, OR 97030
Supplier Specialties
Optometrist

Medicare Product Categories

Ocular Prostheses
Prosthetic eyes
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 Optometric Care Of Oregon's NPI number?

The NPI number for Optometric Care Of Oregon is 1396400313. It was assigned to this organization in the NPPES registry on November 4, 2021. The provider is doing business as Mt Hood Vision Center.

Where is Optometric Care Of Oregon located?

Optometric Care Of Oregon is located at 22640 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 667-0441.

What is Optometric Care Of Oregon's specialty?

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

Is Optometric Care Of Oregon enrolled in Medicare?

Yes. Optometric Care Of Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optometric Care Of Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians, all in Optometry, reassign their Medicare billing to Optometric Care Of Oregon. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Optometric Care Of Oregon accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Optometric Care Of Oregon accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Optometric Care Of Oregon was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.