1. Home
  2. Directory
  3. Oregon
  4. Bend
  5. Optometrist
  6. NPI Profile

DR. KEIJI JAY SHIYOMURA OD
NPI 1609527613
Optometrist in Bend, OR

Active since January 11, 2022PECOS EnrolledAccepts Medicare Assignment
61535 S HIGHWAY 97 STE 16, BEND, OR 97702(541) 389-4774(541) 389-3971 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keiji Jay Shiyomura Od NPPES

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

DR. KEIJI JAY SHIYOMURA OD (NPI 1609527613) is an individual optometrist in Bend, Oregon, licensed in Oregon (ATI4607) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2021).

NPPES Registry Identity

NPI1609527613
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEIJI JAY SHIYOMURACredential: OD
Location Address61535 S HIGHWAY 97 STE 16Bend, OR 97702-2156
Mailing Address61535 S Highway 97 Ste 16Bend, OR 97702-2156 · (541) 389-4774 · Fax (541) 389-3971
Phone(541) 389-4774
Fax(541) 389-3971
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2021
Enumeration DateJanuary 11, 2022
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1609527613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OR · ATI4607
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.
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License ATI4607 (OR)
61535 S HIGHWAY 97 STE 16, Bend, OR 97702
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Keiji Jay Shiyomura Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709271943
PECOS Enrollment IDI20220324002054
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Keiji Shiyomura's NPI number?

The NPI number for Keiji Shiyomura is 1609527613. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is Keiji Shiyomura located?

Keiji Shiyomura practices at 61535 S Highway 97 Ste 16, Bend, OR 97702. The listed phone number is (541) 389-4774.

What is Keiji Shiyomura's specialty?

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

Is Keiji Shiyomura enrolled in Medicare?

Yes. Keiji Shiyomura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keiji Shiyomura accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company, Moda Health Plan, Inc. and Providence Health Plan and 1 other insurer list Keiji Shiyomura 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 Keiji Shiyomura was last updated on February 15, 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.