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SOUTH WATERFRONT EYE CARE INC.
NPI 1447602818
Optometrist in Portland, OR

Active since July 08, 2016CLIA 38D2134134 · Waiver
3615 SW RIVER PKWY, PORTLAND, OR 97239(971) 229-0820(971) 229-0821 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1447602818
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTH WATERFRONT EYE CARE INC.
Location Address3615 SW RIVER PKWYPortland, OR 97239-4552
Mailing Address3615 Sw River PkwyPortland, OR 97239-4552 · (971) 229-0820 · Fax (971) 229-0821
Phone(971) 229-0820
Fax(971) 229-0821
Organization SubpartNo
Authorized OfficialMila IoussifovaPresident · (971) 229-0820
Enumeration DateJuly 8, 2016
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1447602818 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.
3615 SW RIVER PKWY, Portland, OR 97239
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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, OR
Active · expires Jul 25, 2027
CLIA Number38D2134134
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorMila Ioussifova
Laboratory Phone(971) 229-0820
Laboratory LocationSouth Waterfront Eye Care3615 S River Parkway, Portland, OR 97239
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MILA IOUSSIFOVA OD, CNS, FAAO
Optometrist
3615 SW RIVER PKWY
PORTLAND, OR 97239
Multnomah County (971) 229-0820

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 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.

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 BlueCross BlueShield of Tennessee, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon 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 21 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.