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RIVER CITY EYECARE, LLC
NPI 1578899472
Eyewear Supplier in Clackamas, OR

Active since October 27, 2009
9201 SE 91ST AVE, SUITE 130, CLACKAMAS, OR 97086(503) 775-2424(503) 775-6181 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About River City Eyecare, Llc NPPES

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

RIVER CITY EYECARE, LLC (NPI 1578899472) is a healthcare organization registered as an eyewear supplier in Clackamas, Oregon and active in the NPI registry since October 2009. The organization lists Carrie L Breeden, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1578899472
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameRIVER CITY EYECARE, LLC
Location Address9201 SE 91ST AVE, SUITE 130Clackamas, OR 97086-3760
Mailing Address9201 Se 91st Ave, Suite 130Clackamas, OR 97086-3760 · (503) 775-2424 · Fax (503) 775-6181
Phone(503) 775-2424
Fax(503) 775-6181
Organization SubpartNo
Authorized OfficialCarrie L BreedenOwner/member · (503) 775-2424
Enumeration DateOctober 27, 2009
Last NPPES UpdateAugust 26, 2015
✔ NPI 1578899472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
9201 SE 91ST AVE, Clackamas, OR 97086
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Other Identifiers 1

Medicare PINR149908OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

River City Eyecare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to River City Eyecare, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Carrie Breeden, O.D.
Optometry
NPI 1528216793
9201 SE 91ST AVE SUITE 130
Clackamas, OR 97086
(503) 775-2424
✔ PECOS✔ Accepts MedicareSame address
Bret Provost, O.D.
Optometry
NPI 1528093556
9201 SE 91ST AVE SUITE 210
Clackamas, OR 97086
(503) 775-2424
✔ PECOS✔ Accepts MedicareSame address
Gwen Bui
Optometry
NPI 1902269525
9201 SE 91ST AVE STE 130
Happy Valley, OR 97086
(503) 775-2424
✔ PECOS✔ Accepts MedicareSame address
Johnny Duong, O.D.
Optometry
NPI 1811370968
1415 NW 21ST AVE
Portland, OR 97209
(503) 894-7200
✔ PECOS✔ Accepts Medicare8.0 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 River City Eyecare, LLC's NPI number?

The NPI number for River City Eyecare, LLC is 1578899472. It was assigned to this organization in the NPPES registry on October 27, 2009.

Where is River City Eyecare, LLC located?

River City Eyecare, LLC is located at 9201 SE 91st Ave Suite 130, Clackamas, OR 97086. The listed phone number is (503) 775-2424.

What is River City Eyecare, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is River City Eyecare, LLC enrolled in Medicare?

Yes. River City Eyecare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through River City Eyecare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to River City Eyecare, 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does River City Eyecare, LLC 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 5 other insurers list River City Eyecare, 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 River City Eyecare, LLC was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.