LAKE OSWEGO VISION CLINIC LLC
NPI 1750506937
Optometrist in Lake Oswego, OR
About Lake Oswego Vision Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE OSWEGO VISION CLINIC LLC (NPI 1750506937), doing business as Lake Oswego Vision Clinic, is a healthcare organization registered as an optometrist in Lake Oswego, Oregon and active in the NPI registry since April 2007. The organization lists Todd Michael Sheldon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
Lake Oswego Vision Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Lake Oswego Vision Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Lake Oswego Vision Clinic LLC's NPI number?
The NPI number for Lake Oswego Vision Clinic LLC is 1750506937. It was assigned to this organization in the NPPES registry on April 14, 2007. The provider is doing business as Lake Oswego Vision Clinic.
Where is Lake Oswego Vision Clinic LLC located?
Lake Oswego Vision Clinic LLC is located at 15480 Boones Ferry Rd, Lake Oswego, OR 97035. The listed phone number is (503) 635-1458.
What is Lake Oswego Vision Clinic LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lake Oswego Vision Clinic LLC enrolled in Medicare?
Yes. Lake Oswego Vision Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Oswego Vision Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Lake Oswego Vision Clinic 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Oswego Vision Clinic 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 4 other insurers list Lake Oswego Vision Clinic 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 Lake Oswego Vision Clinic LLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Lake Oswego Vision Clinic Llc · NPI 1750506937
Optometrist organization in Lake Oswego, Oregon. Organization record, active in the CMS NPPES registry since April 14, 2007.
## Identity
- **NPI:** 1750506937 (Entity type: Organization)
- **Enumerated:** April 14, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Lake Oswego Vision Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Todd Sheldon, PRESIDENT
## Practice location
- **Address:** 15480 BOONES FERRY RD, Lake Oswego, OR 97035-3429
- **Phone:** (503) 635-1458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750506937) · Data from the CMS NPPES public registry.