Bend Family Vision Care LLC
NPI 1619759453ActiveOrganization· Optometrist· Bend, OR
Optometrist in Bend, Oregon, registered in NPPES in October 2023. The authorized official on file is Diana Lee Cooper, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619759453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2023 |
| Last updated in NPPES | Apr 16, 2024 |
| Certified by provider | Apr 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
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) |
|---|
Other Optometrist providers in Bend
- 1912389511
- 1811064967
- 1205078284
- 1114627940
- 1053749937
- 1508383381
- 1497290316
- 1790970309
- 1508961731
- 1720458540
- 1700453750
- 1386101228