GRESHAM OPTICAL, INC
NPI 1760636005
Eyewear Supplier in Gresham, OR
About Gresham Optical, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRESHAM OPTICAL, INC (NPI 1760636005) is a healthcare organization registered as an eyewear supplier in Gresham, Oregon and active in the NPI registry since November 2008. The organization lists Greg E Brophy, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Gresham Optical, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Gresham Optical, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Gresham Optical, Inc's NPI number?
The NPI number for Gresham Optical, Inc is 1760636005. It was assigned to this organization in the NPPES registry on November 13, 2008.
Where is Gresham Optical, Inc located?
Gresham Optical, Inc is located at 2150 NE Division St Suite 101, Gresham, OR 97030. The listed phone number is (503) 667-2424.
What is Gresham Optical, Inc's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Gresham Optical, Inc enrolled in Medicare?
Yes. Gresham Optical, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gresham Optical, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Gresham Optical, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Gresham Optical, Inc 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 5 other insurers list Gresham Optical, 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 Optical, Inc was last updated on August 27, 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.
# Gresham Optical, Inc · NPI 1760636005
Eyewear Supplier organization in Gresham, Oregon. Organization record, active in the CMS NPPES registry since November 13, 2008.
## Identity
- **NPI:** 1760636005 (Entity type: Organization)
- **Enumerated:** November 13, 2008
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Organization subpart:** No
- **Authorized official:** Greg Brophy, OPTOMETRIST
## Practice location
- **Address:** 2150 NE DIVISION ST, SUITE 101, Gresham, OR 97030-5813
- **Phone:** (503) 667-2424 · **Fax:** (503) 492-3236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2015
- **Other identifiers:** Medicare UPIN U-19383 (OR); Medicare OSCAR/certification R0000PHGGP (OR); Medicaid 001060 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1760636005) · Data from the CMS NPPES public registry.