DALLAS VISION CLINIC
NPI 1760669733
Optometrist in Dallas, OR
About Dallas Vision Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALLAS VISION CLINIC (NPI 1760669733) is a healthcare organization registered as an optometrist in Dallas, Oregon and active in the NPI registry since January 2008. The organization lists Geoffrey Wade Knowles, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 3
Other Identifiers 4
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)
Dallas Vision Clinic 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 Dallas Vision Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. 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.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Dallas Vision Clinic carries, from the Medicare DMEPOS supplier directory.
Dallas Vision Clinic
DMEPOS supplier · Dallas, OROperated by Polk Vision Clinics IncAccepts Medicare assignment
Dallas Vision Clinic 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.
Medicare Product Categories
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 Polk Vision Clinics Inc.'s NPI number?
The NPI number for Polk Vision Clinics Inc. is 1760669733. It was assigned to this organization in the NPPES registry on January 22, 2008. The provider is doing business as Dallas Vision Clinic, Central Vision Clinic and Waldport Eyecare.
Where is Polk Vision Clinics Inc. located?
Polk Vision Clinics Inc. is located at 506 Main St, Dallas, OR 97338. The listed phone number is (503) 623-9233.
What is Polk Vision Clinics Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Polk Vision Clinics Inc. enrolled in Medicare?
Yes. Polk Vision Clinics Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Polk Vision Clinics Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Polk Vision Clinics 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Polk Vision Clinics Inc. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Dallas Vision Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Polk Vision Clinics Inc. 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 2 other insurers list Polk Vision Clinics 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 Polk Vision Clinics Inc. was last updated on September 18, 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.
# Dallas Vision Clinic · NPI 1760669733
Optometrist organization in Dallas, Oregon. Organization record, active in the CMS NPPES registry since January 22, 2008.
## Identity
- **NPI:** 1760669733 (Entity type: Organization)
- **Enumerated:** January 22, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Polk Vision Clinics Inc.
- **Also known as:** Central Vision Clinic (Doing Business As); Waldport Eyecare (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Geoffrey Knowles, PROVIDER
## Practice location
- **Address:** 506 MAIN ST, Dallas, OR 97338-1915
- **Phone:** (503) 623-9233 · **Fax:** (503) 623-9233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2024
- **Other identifiers:** Medicaid 500690159 (OR); Medicaid 500695313 (OR); Medicaid 500641229 (OR); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1760669733) · Data from the CMS NPPES public registry.