BANDON VISION CENTER
NPI 1518158500
Optometrist in Bandon, OR

Active since August 06, 2007
1095 ALABAMA AVENUE, BANDON, OR 97411(541) 347-3622(541) 347-2872 Get Directions Write a Review

NPPES record last updated: August 6, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bandon Vision Center NPPES

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

BANDON VISION CENTER (NPI 1518158500) is a healthcare organization registered as an optometrist in Bandon, Oregon and active in the NPI registry since August 2007. The organization lists Nicole Rush Erenfeld, Owner, as its authorized official.

NPPES Registry Identity

NPI1518158500
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCOOS EYE CENTERS, INC.
Location Address1095 ALABAMA AVENUEBandon, OR 97411
Mailing AddressPo Box 956Bandon, OR 97411-0956 · (541) 347-3622 · Fax (541) 347-2872
Fax(541) 347-2872
Organization SubpartNo
Authorized OfficialNicole Rush ErenfeldOwner · (541) 347-3622
Enumeration DateAugust 6, 2007
✔ NPI 1518158500 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 · 2856ATI
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.
1095 ALABAMA AVENUE, Bandon, OR 97411

Other Names 1

Doing Business AsBandon Vision Center

Other Identifiers 3

Medicare PINR113364OR
Medicaid287009OR
Medicare UPINU90506OR

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bandon Vision Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20100930002381DME · Physician - OptometristDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bandon Vision Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1467400952
1095 ALABAMA AVE.
Bandon, OR 97411
(541) 347-3622
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1598114340
855 W CENTRAL BLVD STE A
Coquille, OR 97423
(541) 396-4042
✔ PECOS✔ Accepts Medicare12 mi
Optometry
NPI 1568483147
94225 4TH STREET
Gold Beach, OR 97444
(541) 247-7212
✔ PECOS48 mi
Optometry
NPI 1730644790
12370 SW 1ST ST
Beaverton, OR 97005
(503) 644-3614
✔ PECOS✔ Accepts Medicare182 mi
Optometry
NPI 1104486356
553 18TH ST
Astoria, OR 97103
(503) 325-4401
✔ PECOS✔ Accepts Medicare214 mi

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

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Bandon Vision Center carries, from the Medicare DMEPOS supplier directory.

Bandon Vision Center

DMEPOS supplier · Bandon, OROperated by Coos Eye Centers Inc
✔

Accepts Medicare assignment

Bandon Vision Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20606537
Medicare Participant SinceJanuary 31, 2002
Supplier Location395 2nd St SE Ste BBandon, OR 97411
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Coos Eye Centers, Inc.'s NPI number?

The NPI number for Coos Eye Centers, Inc. is 1518158500. It was assigned to this organization in the NPPES registry on August 6, 2007. The provider is doing business as Bandon Vision Center.

Where is Coos Eye Centers, Inc. located?

Coos Eye Centers, Inc. is located at 1095 Alabama Avenue, Bandon, OR 97411. The listed phone number is (541) 347-3622.

What is Coos Eye Centers, Inc.'s specialty?

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

Is Coos Eye Centers, Inc. enrolled in Medicare?

Yes. Coos Eye Centers, Inc. is registered in the Medicare PECOS enrollment system.

When is Coos Eye Centers, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Physician - Optometrist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Coos Eye Centers, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Coos Eye Centers, 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coos Eye Centers, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Bandon Vision Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Coos Eye Centers, Inc. accept?

Health plans from Moda Health Plan, Inc. list Coos Eye Centers, 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 Coos Eye Centers, Inc. was last updated on August 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.