Parkrose Vision, Llc in Portland, OR - Medicare Clinic/Center

Parkrose Vision, Llc is a medicare enrolled primary clinic (Clinic/center) in Portland, Oregon. The current practice location for Parkrose Vision, Llc is 4880 Ne 104th Ave, Portland, Oregon. For appointments, you can reach them via phone at (503) 943-0699. The mailing address for Parkrose Vision, Llc is 15470 Se Baden Powell Rd, Happy Valley, Oregon and phone number is (503) 819-1807.

Parkrose Vision, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1144847260. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 943-0699.

Contact Information

	Parkrose Vision, Llc
	4880 Ne 104th Ave Portland OR 97220
	(503) 943-0699
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Parkrose Vision, Llc
Speciality	Clinic/Center
Location	4880 Ne 104th Ave, Portland, Oregon
Authorized Official Name and Position	Haley Kim (OWNER)
Authorized Official Contact	5034328452
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Parkrose Vision, Llc 15470 Se Baden Powell Rd Happy Valley OR 97086-6049 Ph: (503) 819-1807	Parkrose Vision, Llc 4880 Ne 104th Ave Portland OR 97220 Ph: (503) 943-0699

NPI Details:

NPI Number	1144847260
Provider Enumeration Date	07/06/2020
Last Update Date	05/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6608277405
Medicare Enrollment ID	O20241114004575

Medical Identifiers

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

Identifier	Type	State	Issuer
1144847260	NPI	-	NPPES
500784142	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

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

Provider Name	Haley Kim
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1104483833 PECOS PAC ID: 2769805688 Enrollment ID: I20200710002722

Reviews and Comments

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Parkrose Vision, Llc - Medicare Primary Care in Portland, OR