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CONVERGE NEURO OPTOMETRY LLC
NPI 1427919729
Optometrist in Tigard, OR

Active since November 18, 2025
9975 SW FREWING ST STE 130, TIGARD, OR 97223(503) 906-3596(503) 906-1014 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Converge Neuro Optometry Llc NPPES

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

CONVERGE NEURO OPTOMETRY LLC (NPI 1427919729) is a healthcare organization registered as an optometrist in Tigard, Oregon and active in the NPI registry since November 2025. The organization lists Macson Lee, Ceo, Od, Fovdra, as its authorized official.

NPPES Registry Identity

NPI1427919729
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCONVERGE NEURO OPTOMETRY LLC
Location Address9975 SW FREWING ST STE 130Tigard, OR 97223-5091
Mailing Address13010 Sw Caspian CtBeaverton, OR 97008-7760 · (650) 521-4570
Phone(503) 906-3596
Fax(503) 906-1014
Organization SubpartNo
Authorized OfficialMacson LeeCeo, Od, Fovdra · (650) 521-4570
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1427919729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X
9975 SW FREWING ST STE 130, Tigard, OR 97223
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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

Other Providers at the Same Location NPPES 3

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

PATRICIA KOZAK OD
Optometrist
9975 SW FREWING ST STE 130
TIGARD, OR 97223
Washington County (503) 906-3596
DR. MACSON YEN LEE O.D.
Optometrist
9975 SW FREWING ST STE 130
TIGARD, OR 97223
Washington County (503) 906-3596
MARK YOST
Optometrist
9975 SW FREWING ST STE 130
TIGARD, OR 97223
Washington County (503) 906-3596

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 Converge Neuro Optometry LLC's NPI number?

The NPI number for Converge Neuro Optometry LLC is 1427919729. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Converge Neuro Optometry LLC located?

Converge Neuro Optometry LLC is located at 9975 SW Frewing St Ste 130, Tigard, OR 97223. The listed phone number is (503) 906-3596.

What is Converge Neuro Optometry LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Converge Neuro Optometry LLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.