Bridgeport Eye Physicians, Llc - Medicare in Sherwood, OR

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Bridgeport Eye Physicians, Llc is a medicare enrolled "Ophthalmology" provider in Sherwood, Oregon. Their current practice location is 20015 Sw Pacific Hwy Ste 150, Sherwood, Oregon. You can reach out to their office (for appointments etc.) via phone at (503) 610-1025.

Bridgeport Eye Physicians, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Bridgeport Eye Physicians, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215135066.

Contact Information

Bridgeport Eye Physicians, Llc
20015 Sw Pacific Hwy Ste 150,
Sherwood, OR 97140-9316
(503) 610-1025
(503) 610-1596

Map and Direction




Healthcare Provider's Profile

Full NameBridgeport Eye Physicians, Llc
TypeFacility
SpecialityOphthalmology
Location20015 Sw Pacific Hwy Ste 150, Sherwood, Oregon
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215135066
  • Provider Enumeration Date: 07/03/2007
  • Last Update Date: 08/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4385735430
  • Enrollment ID: O20070803000570

Medical Identifiers

Medical identifiers for Bridgeport Eye Physicians, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215135066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1670ATI (Oregon)Secondary
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology MD25517 (Oregon)Secondary
207W00000XOphthalmology DO22937 (Oregon)Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bridgeport Eye Physicians, Llc acts as a billing entity for following providers:
Provider NameSusan F Littlefield
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871577528
PECOS PAC ID: 6901840479
Enrollment ID: I20050615000492
Provider NameBruce W Madsen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760429831
PECOS PAC ID: 1557370160
Enrollment ID: I20100325000599
Provider NameJohn G Dodd
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215190400
PECOS PAC ID: 9133397540
Enrollment ID: I20110728000647
Provider NameAllen Ji Kim
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821355587
PECOS PAC ID: 7315180023
Enrollment ID: I20130828000539
Provider NameScott R. Iburg
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669781746
PECOS PAC ID: 1456574193
Enrollment ID: I20140527000413
Provider NameNathaniel Roland
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811981624
PECOS PAC ID: 8527018308
Enrollment ID: I20161123001330
Provider NameTomas A Lopez
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1679830772
PECOS PAC ID: 9739474727
Enrollment ID: I20170807003338
Provider NameGregory Allen Richard
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1295013613
PECOS PAC ID: 6901124882
Enrollment ID: I20180627001766
Provider NameJonathan Young
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720492820
PECOS PAC ID: 9638485568
Enrollment ID: I20191017000644
Provider NameKrista Ann Tomlinson Coontz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1740858737
PECOS PAC ID: 4284034778
Enrollment ID: I20210622000009
Provider NameMark Yost
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821713645
PECOS PAC ID: 5092183301
Enrollment ID: I20221130003593
Provider NameSarina Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215782412
PECOS PAC ID: 8820538895
Enrollment ID: I20240905003336

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bridgeport Eye Physicians, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bridgeport Eye Physicians, Llc
20015 Sw Pacific Hwy Ste 150,
Sherwood, OR 97140-9316

Ph: (503) 610-1025		Bridgeport Eye Physicians, Llc
20015 Sw Pacific Hwy Ste 150,
Sherwood, OR 97140-9316

Ph: (503) 610-1025

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.