CONVERGE NEURO OPTOMETRY LLC
NPI 1427919729
Optometrist in Tigard, OR

Q: 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.

Q: What is Converge Neuro Optometry LLC's specialty?

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

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: October 25, 2026.

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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)

Converge Neuro Optometry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Converge Neuro Optometry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Macson Lee, O.D.

Optometry

NPI 1740251529

9975 SW FREWING ST STE 130
Tigard, OR 97223

(503) 906-3596

✔ PECOS✔ Accepts MedicareSame address

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

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.

Is Converge Neuro Optometry LLC enrolled in Medicare?

Yes. Converge Neuro Optometry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Converge Neuro Optometry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Converge Neuro Optometry LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Converge Neuro Optometry LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Converge Neuro Optometry 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 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 11 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.