OrganizationActive
Eyedentity Vision Center P.C.
NPI 1003930132 · Optometrist · Portland, OR
Provider details
- NPI number
- 1003930132
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Steven Clouse, President(503) 238-1139
- License
- 2408T (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2609 Se Clinton St
Portland, OR 97202-1240
Phone: (503) 238-1139
Fax: (503) 235-6574
Street-level locationGet directions
Mailing address
2609 Se Clinton St
Portland, OR 97202-1240
Other names (DBA / former)
- Doing business as
- Steven J. Clouse, OD
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2009-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.