OrganizationActive
Pacific University
NPI 1124319009 · Optometrist · Beaverton, OR
Provider details
- NPI number
- 1124319009
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- James Langstraat, Vp Finance & Administration(503) 352-1621
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
12600 Sw Crescent St
130
Beaverton, OR 97005-1693
Phone: (503) 352-2020
Fax: (971) 266-2963
Street-level locationGet directions
Mailing address
12600 Sw Crescent St
Beaverton, OR 97005-1693
Other names (DBA / former)
- Other name
- Pacific University Eyeclinic Beaverton
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2021-10-26
- Certified
- 2021-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.