<unavail> in Portland, OR - Medicare Optometrist Provider

is a medicare enrolled "Optometrist" provider in Portland, Oregon. Their current practice location is 4133 Se Division St, Portland, Oregon. You can reach out to their office (for appointments etc.) via phone at (503) 444-7639.

is licensed to practice in Oregon (license number 3462ATI) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295158301.

Contact Information


	4133 Se Division St, Portland, OR 97202-1646
	(503) 444-7639
	(503) 972-1593

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Optometrist
Location	4133 Se Division St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295158301
Provider Enumeration Date: 01/24/2014
Last Update Date: 01/24/2014

Medicare PECOS Information:

PECOS PAC ID: 4587888953
Enrollment ID: O20140605001209

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295158301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3462ATI (Oregon)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	3462ATI (Oregon)	Secondary
152WP0200X	Optometrist - Pediatrics	3462ATI (Oregon)	Secondary
152WS0006X	Optometrist - Sports Vision	3462ATI (Oregon)	Secondary
152WV0400X	Optometrist - Vision Therapy	3462ATI (Oregon)	Secondary
152WX0102X	Optometrist - Occupational Vision	3462ATI (Oregon)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Samuel Adelman
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1043545122 PECOS PAC ID: 4688898059 Enrollment ID: I20140605001592

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4133 Se Division St, Portland, OR 97202-1646 Ph: (503) 444-7639	4133 Se Division St, Portland, OR 97202-1646 Ph: (503) 444-7639

Reviews and Comments

Optometrist in Portland, OR

Mrs. Ayla Jade Himmelsbach, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7826 Sw Capitol Hwy, Portland, OR 97219 Phone: 503-224-7788
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2609 Se Clinton St, Portland, OR 97202 Phone: 503-238-1139 Fax: 503-235-6574
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4542 Ne Martin Luther King Jr Blvd, Portland, OR 97211 Phone: 503-228-2154 Fax: 503-228-4694
Dr. Larry E Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Ste 106, Portland, OR 97266 Phone: 503-653-1442
Dr. Kim M Clark & Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12000 Se 82nd Avenue, #2012, Portland, OR 97266 Phone: 503-652-6001 Fax: 503-652-6012
Dr. Laura Mae Armstrong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2021 Ne Alberta St, Portland, OR 97211 Phone: 503-384-2489 Fax: 503-379-9488
Dr. Hayden Minh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8315 Se Stark St, Portland, OR 97216 Phone: 503-282-3070 Fax: 503-287-3482

- Medicare Optometrist in Portland, OR