SOUTH WATERFRONT EYE CARE INC.
NPI 1447602818
Optometrist in Portland, OR
About South Waterfront Eye Care Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH WATERFRONT EYE CARE INC. (NPI 1447602818) is a healthcare organization registered as an optometrist in Portland, Oregon and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Mila Ioussifova, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
South Waterfront Eye Care Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to South Waterfront Eye Care Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D2134134
South Waterfront Eye Care · Portland, ORFrequently 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 South Waterfront Eye Care Inc.'s NPI number?
The NPI number for South Waterfront Eye Care Inc. is 1447602818. It was assigned to this organization in the NPPES registry on July 8, 2016.
Where is South Waterfront Eye Care Inc. located?
South Waterfront Eye Care Inc. is located at 3615 SW River Pkwy, Portland, OR 97239. The listed phone number is (971) 229-0820.
What is South Waterfront Eye Care Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is South Waterfront Eye Care Inc. enrolled in Medicare?
Yes. South Waterfront Eye Care Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Waterfront Eye Care Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to South Waterfront Eye Care 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Waterfront Eye Care Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2134134) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Waterfront Eye Care 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 3 other insurers list South Waterfront Eye Care 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 South Waterfront Eye Care Inc. was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# South Waterfront Eye Care Inc. · NPI 1447602818
Optometrist organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since July 8, 2016.
## Identity
- **NPI:** 1447602818 (Entity type: Organization)
- **Enumerated:** July 8, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Mila Ioussifova, PRESIDENT
## Practice location
- **Address:** 3615 SW RIVER PKWY, Portland, OR 97239-4552
- **Phone:** (971) 229-0820 · **Fax:** (971) 229-0821
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447602818) · Data from the CMS NPPES public registry.