EYE CENTER OF BROOKINGS, LLC
NPI 1912010596
Optometrist in Brookings, OR
About Eye Center Of Brookings, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYE CENTER OF BROOKINGS, LLC (NPI 1912010596) is a healthcare organization registered as an optometrist in Brookings, Oregon and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Douglas John Walker, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Eye Center Of Brookings, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Eye Center Of Brookings, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 38D2136394
Eye Center Of Brookings, LLC · Brookings, ORMedical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Eye Center Of Brookings carries, from the Medicare DMEPOS supplier directory.
Eye Center Of Brookings
DMEPOS supplier · Brookings, OROperated by Eye Center Of Brookings LLCAccepts Medicare assignment
Eye Center Of Brookings 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 Eye Center Of Brookings, LLC's NPI number?
The NPI number for Eye Center Of Brookings, LLC is 1912010596. It was assigned to this organization in the NPPES registry on August 16, 2006.
Where is Eye Center Of Brookings, LLC located?
Eye Center Of Brookings, LLC is located at 937 Chetco Ave, Brookings, OR 97415. The listed phone number is (541) 469-6923.
What is Eye Center Of Brookings, LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Eye Center Of Brookings, LLC enrolled in Medicare?
Yes. Eye Center Of Brookings, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Center Of Brookings, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Eye Center Of Brookings, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eye Center Of Brookings, LLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Eye Center Of Brookings accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Eye Center Of Brookings, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2136394) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Eye Center Of Brookings, LLC accept?
Health plans from Moda Health Plan, Inc. list Eye Center Of Brookings, 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 Eye Center Of Brookings, LLC was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Eye Center Of Brookings, Llc · NPI 1912010596
Optometrist organization in Brookings, Oregon. Organization record, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1912010596 (Entity type: Organization)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Douglas Walker, MEMBER
## Practice location
- **Address:** 937 CHETCO AVE, Brookings, OR 97415
- **Phone:** (541) 469-6923 · **Fax:** (541) 469-6769
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 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:** June 2, 2022
- **Other identifiers:** Medicaid 208317 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912010596) · Data from the CMS NPPES public registry.