Gresham Vision Center, Inc
NPI 1619022076 · Optometrist · Gresham, OR
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gresham Vision Center, Inc is a Optometrist organization in Gresham, OR (NPI 1619022076).
Provider details
- NPI number
- 1619022076
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- R104410
- Organization subpart
- Yes
- Authorized official
- Diane Gardner, Office Manager(503) 665-3813
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2015-03-19
Frequently asked questions
- What is Gresham Vision Center, Inc's NPI number?
- Gresham Vision Center, Inc's National Provider Identifier (NPI) is 1619022076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gresham Vision Center, Inc?
- Gresham Vision Center, Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Gresham Vision Center, Inc located?
- Gresham Vision Center, Inc's practice location on file with NPPES is 125 Nw Miller Ave, Gresham, OR 97030-7225.
- What is Gresham Vision Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Gresham Vision Center, Inc is (503) 665-3813.
- Does Gresham Vision Center, Inc accept Medicare?
- Gresham Vision Center, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gresham Vision Center, Inc?
- The authorized official listed on Gresham Vision Center, Inc's NPPES record is Diane Gardner, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gresham Vision Center, Inc's NPI active?
- Yes — Gresham Vision Center, Inc's NPI (1619022076) is active in the NPPES registry as of the last update on 2015-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.