Converge Neuro Optometry LLC
NPI 1427919729ActiveOrganization· Optometrist· Tigard, OR
Optometrist in Tigard, Oregon, registered in NPPES in November 2025. The authorized official on file is Macson Lee, O.D., Ceo, Od, Fovdra. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427919729 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2025 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Optometrist, Pediatrics | 152WP0200X | — | — |
| Optometrist, Sports Vision | 152WS0006X | — | — |
| Optometrist, Vision Therapy | 152WV0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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