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GRESHAM VISION CENTER, INC
NPI 1619022076
Optometrist in Gresham, OR

Active since January 24, 2007
125 NW MILLER AVE, GRESHAM, OR 97030(503) 665-3813 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gresham Vision Center, Inc NPPES

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

GRESHAM VISION CENTER, INC (NPI 1619022076) is a healthcare organization registered as an optometrist in Gresham, Oregon and active in the NPI registry since January 2007. The organization lists Diane Gardner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619022076
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGRESHAM VISION CENTER, INC
Location Address125 NW MILLER AVEGresham, OR 97030-7225
Mailing Address125 Nw Miller AveGresham, OR 97030-7225
Phone(503) 665-3813
Organization SubpartYesParent: R104410
Authorized OfficialDiane GardnerOffice Manager · (503) 665-3813
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMarch 19, 2015
✔ NPI 1619022076 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.
125 NW MILLER AVE, Gresham, OR 97030
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Other Identifiers 1

Medicare NSC0294160001OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

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

Gresham Vision Center Inc

DMEPOS supplier · Gresham, OR
✔

Accepts Medicare assignment

Gresham Vision Center Inc 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)20633615
Medicare Participant SinceJune 1, 1999
Supplier Location125 NW Miller AveGresham, OR 97030
Phone(503) 665-3813
Supplier Specialties
Optometrist Optician

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.

Other Providers at the Same Location NPPES 3

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

DR. PRESCOTT BRIGGS MCARTHUR OD
Optometrist
125 NW MILLER AVE
GRESHAM, OR 97030
Multnomah County (503) 665-3813
DANE AGOST
Optometrist
125 NW MILLER AVE
GRESHAM, OR 97030
Multnomah County (503) 665-3813
DAN CALDWELL OD
Optometrist
125 NW MILLER AVE
GRESHAM, OR 97030
Multnomah County (503) 665-5415

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 Gresham Vision Center, Inc's NPI number?

The NPI number for Gresham Vision Center, Inc is 1619022076. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Gresham Vision Center, Inc located?

Gresham Vision Center, Inc is located at 125 NW Miller Ave, Gresham, OR 97030. The listed phone number is (503) 665-3813.

What is Gresham Vision Center, Inc's specialty?

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

Does Gresham Vision Center, Inc accept Medicare assignment for medical equipment?

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

What insurance does Gresham Vision Center, Inc accept?

Health plans from PacificSource Health Plans list Gresham Vision Center, 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 Gresham Vision Center, Inc was last updated on March 19, 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.