BEAUMONT VISION, PC
NPI 1780881276
Optometrist in Portland, OR
About Beaumont Vision, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEAUMONT VISION, PC (NPI 1780881276) is a healthcare organization registered as an optometrist in Portland, Oregon and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists John R Lewis, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Beaumont Vision, Pc 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 Beaumont Vision, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D2104112
Beaumont Vision · Portland, ORFrequently 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 Beaumont Vision, PC's NPI number?
The NPI number for Beaumont Vision, PC is 1780881276. It was assigned to this organization in the NPPES registry on June 28, 2007.
Where is Beaumont Vision, PC located?
Beaumont Vision, PC is located at 4331 NE Fremont Street, Portland, OR 97213. The listed phone number is (503) 331-3937.
What is Beaumont Vision, PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Beaumont Vision, PC enrolled in Medicare?
Yes. Beaumont Vision, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beaumont Vision, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Beaumont Vision, PC. 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Beaumont Vision, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2104112) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Beaumont Vision, PC 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 Beaumont Vision, PC 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 Beaumont Vision, PC was last updated on September 10, 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.
# Beaumont Vision, Pc · NPI 1780881276
Optometrist organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since June 28, 2007.
## Identity
- **NPI:** 1780881276 (Entity type: Organization)
- **Enumerated:** June 28, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** John Lewis, OPTOMETRIST
## Practice location
- **Address:** 4331 NE FREMONT STREET, Portland, OR 97213
- **Phone:** (503) 331-3937 · **Fax:** (503) 528-1234
## 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 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2007
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780881276) · Data from the CMS NPPES public registry.