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TVC OD, LLC
NPI 1790215192
Clinic/Center in Tillamook, OR

Active since June 18, 2017CLIA Certified · 2 labs
2101 5TH ST, TILLAMOOK, OR 97141(503) 842-5568(503) 842-1122 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2025, Jul 21, 2022, Jun 18, 2017 (3 updates tracked since 2017).

About Tvc Od, Llc NPPES

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

TVC OD, LLC (NPI 1790215192) is a healthcare organization registered as a clinic/center in Tillamook, Oregon and active in the NPI registry since June 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Pacific City, and lists Lee Johnson, Member, as its authorized official.

NPPES Registry Identity

NPI1790215192
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTVC OD, LLC
Location Address2101 5TH STTillamook, OR 97141-2330
Mailing Address2101 5th StTillamook, OR 97141-2330 · (503) 842-5568 · Fax (503) 842-1122
Phone(503) 842-5568
Fax(503) 842-1122
Organization SubpartNo
Authorized OfficialLee JohnsonMember · (360) 601-2953
Enumeration DateJune 18, 2017
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1790215192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2101 5TH ST, Tillamook, OR 97141
Open in Google Maps ↗

Secondary Practice Location 1

Location 138505 Brooten Rd Ste DPacific City, OR 97135-8049 · Phone (503) 842-5568 · Fax (503) 842-1122

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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)

Tvc Od, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tvc Od, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Christopher Jenck, OD
Optometry
NPI 1497470199
800 MAIN AVE STE A
Tillamook, OR 97141
(503) 842-5568
✔ PECOS✔ Accepts Medicare0.2 mi
Lee Johnson, O.D.
Optometry
NPI 1104113497
800 MAIN AVE STE A
Tillamook, OR 97141
(503) 842-5568
✔ PECOS✔ Accepts Medicare0.2 mi
Shauntel Steele, OD
Optometry
NPI 1851060420
15901 SW JENKINS RD
Aloha, OR 97006
(503) 641-6023
✔ PECOS✔ Accepts Medicare49 mi

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 2

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 38D2336339

Tvc Od, LLC · Pacific City, OR
Active · expires Dec 29, 2027
CLIA Number38D2336339
Laboratory TypePractitioner Other
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorLee M. Johnson
Laboratory Phone(503) 842-5568
Laboratory LocationTvc Od, LLC38505 Brooten Rd Ste D, Pacific City, OR 97135
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2336340

Tvc Od, LLC · Tillamook, OR
Active · expires Dec 29, 2027
CLIA Number38D2336340
Laboratory TypePractitioner Other
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorLee M. Johnson
Laboratory Phone(503) 842-5568
Laboratory LocationTvc Od, LLC2101 Fifth Street, Tillamook, OR 97141
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tvc Od, LLC's NPI number?

The NPI number for Tvc Od, LLC is 1790215192. It was assigned to this organization in the NPPES registry on June 18, 2017.

Where is Tvc Od, LLC located?

Tvc Od, LLC is located at 2101 5th St, Tillamook, OR 97141. The listed phone number is (503) 842-5568.

What is Tvc Od, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Tvc Od, LLC enrolled in Medicare?

Yes. Tvc Od, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tvc Od, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Tvc Od, 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tvc Od, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Tvc Od, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Tvc Od, 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 Tvc Od, LLC was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.