MORELAND FAMILY EYE CARE PC
NPI 1487156683
Optometrist in Portland, OR

Q: What is Moreland Family Eye Care PC's NPI number?

The NPI number for Moreland Family Eye Care PC is 1487156683. It was assigned to this organization in the NPPES registry on March 2, 2018. The provider is doing business as Moreland Vision Source.

Q: What is Moreland Family Eye Care PC's specialty?

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

Active since March 02, 2018

6539 SE MILWAUKIE AVE, PORTLAND, OR 97202(503) 236-6008(503) 236-2057 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2018, Mar 2, 2018 (2 updates tracked since 2018).

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About Moreland Family Eye Care Pc NPPES

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

MORELAND FAMILY EYE CARE PC (NPI 1487156683), doing business as Moreland Vision Source, is a healthcare organization registered as an optometrist in Portland, Oregon and active in the NPI registry since March 2018. The organization lists Daryn W. Derstine, President, as its authorized official.

NPPES Registry Identity

NPI1487156683

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMORELAND FAMILY EYE CARE PC

Location Address6539 SE MILWAUKIE AVEPortland, OR 97202-5519

Mailing Address6539 Se Milwaukie AvePortland, OR 97202-5519 · (503) 236-6008 · Fax (503) 236-2057

Phone(503) 236-6008

Fax(503) 236-2057

Organization SubpartNo

Authorized OfficialDaryn W. DerstinePresident · (503) 236-6008

Enumeration DateMarch 2, 2018

Last NPPES UpdateFebruary 16, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2026

✔ NPI 1487156683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OR · 1735ATI

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.

6539 SE MILWAUKIE AVE, Portland, OR 97202

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Other Names 1

Doing Business AsMoreland Vision Source

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 Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, BridgeSpan Health Company 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)

Moreland Family Eye Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Moreland Family Eye Care PC, 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)

Daryn Derstine, O.D.

Optometry

NPI 1669490686

6539 SE MILWAUKIE AVE
Portland, OR 97202

(503) 236-6008

✔ PECOS✔ Accepts MedicareSame address

Scott Wojciechowski, O D

Optometry

NPI 1164425948

6539 SE MILWAUKIE AVE
Portland, OR 97202

(503) 236-6008

✔ PECOSSame address

Jill Scheiffele, O.D.

Optometry

NPI 1669500278

1111 NE 102ND AVE
Portland, OR 97220

(503) 255-7782

✔ PECOS✔ Accepts Medicare5.8 mi

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 Moreland Family Eye Care PC's NPI number?

The NPI number for Moreland Family Eye Care PC is 1487156683. It was assigned to this organization in the NPPES registry on March 2, 2018. The provider is doing business as Moreland Vision Source.

Where is Moreland Family Eye Care PC located?

Moreland Family Eye Care PC is located at 6539 SE Milwaukie Ave, Portland, OR 97202. The listed phone number is (503) 236-6008.

What is Moreland Family Eye Care PC's specialty?

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

Is Moreland Family Eye Care PC enrolled in Medicare?

Yes. Moreland Family Eye Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moreland Family Eye Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Moreland Family Eye Care PC. 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.

What insurance does Moreland Family Eye Care PC accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc. and PacificSource Health Plans and 1 other insurer list Moreland Family Eye Care PC 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 Moreland Family Eye Care PC was last updated on February 16, 2026. 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.