BEND FAMILY VISION CARE
NPI 1619759453
Optometrist in Bend, OR

Q: What is Bend Family Vision Care LLC's NPI number?

The NPI number for Bend Family Vision Care LLC is 1619759453. It was assigned to this organization in the NPPES registry on October 17, 2023. The provider is doing business as Bend Family Vision Care.

Q: What is Bend Family Vision Care LLC's specialty?

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

Active since October 17, 2023

1470 SW KNOLL AVE STE 102, BEND, OR 97702(541) 797-0295(541) 797-7685 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2024, Oct 17, 2023 (2 updates tracked since 2023).

On this page

About Bend Family Vision Care NPPES

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

BEND FAMILY VISION CARE (NPI 1619759453) is a healthcare organization registered as an optometrist in Bend, Oregon and active in the NPI registry since October 2023. The organization lists Diana Lee Cooper, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1619759453

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBEND FAMILY VISION CARE LLC

Location Address1470 SW KNOLL AVE STE 102Bend, OR 97702-3154

Mailing Address1470 Sw Knoll Ave Ste 102Bend, OR 97702-3154 · (541) 797-0295 · Fax (541) 797-7685

Phone(541) 797-0295

Fax(541) 797-7685

Organization SubpartNo

Authorized OfficialDiana Lee CooperBilling Manager · (541) 740-8021

Enumeration DateOctober 17, 2023

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1619759453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedEyewear SupplierTaxonomy 332H00000X

1470 SW KNOLL AVE STE 102, Bend, OR 97702

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Other Names 1

Doing Business AsBend Family Vision Care

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)

Bend Family Vision Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bend Family Vision Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Michael Klautzsch, OD

Optometry

NPI 1164601167

1470 SW KNOLL AVE STE 102
Bend, OR 97702

(541) 797-0295

✔ PECOS✔ Accepts MedicareSame address

Shannon Buckmaster, OD

Optometry

NPI 1346234275

1495 S BLACK RIDGE DR STE A270
St George, UT 84770

(503) 329-1696

✔ PECOS630 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 Bend Family Vision Care LLC's NPI number?

The NPI number for Bend Family Vision Care LLC is 1619759453. It was assigned to this organization in the NPPES registry on October 17, 2023. The provider is doing business as Bend Family Vision Care.

Where is Bend Family Vision Care LLC located?

Bend Family Vision Care LLC is located at 1470 SW Knoll Ave Ste 102, Bend, OR 97702. The listed phone number is (541) 797-0295.

What is Bend Family Vision Care LLC's specialty?

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

Is Bend Family Vision Care LLC enrolled in Medicare?

Yes. Bend Family Vision Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bend Family Vision Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Bend Family Vision Care 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bend Family Vision Care LLC 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 Bend Family Vision Care 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 Bend Family Vision Care LLC was last updated on April 16, 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.