PACIFIC UNIVERSITY NPI 1124319009

NPI Information

  • NPI: 1124319009
  • Provider Name: PACIFIC UNIVERSITY
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Other Name: PACIFIC UNIVERSITY EYECLINIC BEAVERTON
  • CLIA Number: 38D2061876
  • Address: 12600 SW CRESCENT ST
    130
    BEAVERTON, OR
    ZIP 97005
  • Phone: (503) 352-2020

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NPI Details

PACIFIC UNIVERSITY is an optometrist in Beaverton, OR. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PACIFIC UNIVERSITY NPI is 1124319009. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pacific University Eyeclinic Beaverton.

The provider's business location address is:

12600 SW CRESCENT ST
130
BEAVERTON, OR
ZIP 97005-693
Phone: (503) 352-2020
Fax: (971) 266-2963

The provider's authorized official is James Langstraat .
The authorized official title is Vp Finance & Administration and has the following contact phone number (503) 352-1621.

The CLIA number assigned to this NPI record is 38D2061876 - other - teaching with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2011 and was last updated on 10/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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