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DR. JOHN ROBERT LEWIS OD
NPI 1669409868
Optometrist in Portland, OR

Active since June 26, 2006PECOS Enrolled
4331 NE FREMONT STREET, PORTLAND, OR 97213(503) 331-3937 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. John Robert Lewis Od NPPES

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

DR. JOHN ROBERT LEWIS OD (NPI 1669409868) is an individual optometrist in Portland, Oregon, licensed in Oregon (2852 ATI) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1996).

NPPES Registry Identity

NPI1669409868
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN ROBERT LEWISCredential: OD
Location Address4331 NE FREMONT STREETPortland, OR 97213
Mailing Address3731 Ne 23rd AvePortland, OR 97212-1447 · (503) 475-6146
Phone(503) 331-3937
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1996
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669409868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OR · 2852 ATI✔ Licensed in WA · OD 3706
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.
4331 NE FREMONT STREET, Portland, OR 97213
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Other Identifiers 3

Medicare UPINU67881OR
Medicare ID-Type Unspecified115647OR · Provider Number
Medicare ID-Type Unspecified114846OR · Provider Number

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Robert Lewis Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123001674
PECOS Enrollment IDI20040608000231
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.

Medicare Billing Reassignment

Medicare enrollment records show John Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaumont Vision, PC
Same address
Optometrist
4331 NE FREMONT STREET
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group
NPI 1780881276 (503) 331-3937

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services20 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
25 services22 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
19 services17 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES

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

BEAUMONT VISION, PC
Optometrist
4331 NE FREMONT STREET
PORTLAND, OR 97213
Multnomah County (503) 331-3937

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 John Lewis's NPI number?

The NPI number for John Lewis is 1669409868. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is John Lewis located?

John Lewis practices at 4331 NE Fremont Street, Portland, OR 97213. The listed phone number is (503) 331-3937.

What is John Lewis's specialty?

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

Is John Lewis enrolled in Medicare?

Yes. John Lewis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Lewis reassigns Medicare benefits to Beaumont Vision, PC (Portland, OR). The 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 John Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Lewis accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list John Lewis 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 John Lewis was last updated on July 8, 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.