Luke Boran, OD in Kelso, WA - Medicare Optometrist Provider

Luke Boran, OD is a medicare enrolled "Optometrist" provider in Kelso, Washington. His current practice location is 209 W Main St Ste 100, Kelso, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 414-8000.

Luke Boran is licensed to practice in Washington (license number 70010268) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386329290.

Contact Information

	Luke Boran, OD
	209 W Main St Ste 100, Kelso, WA 98626-1368
	(360) 414-8000
	(360) 414-1100

Map and Direction

Healthcare Provider's Profile

Full Name	Luke Boran
Gender	Male
Speciality	Optometrist
Location	209 W Main St Ste 100, Kelso, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386329290
Provider Enumeration Date: 06/19/2023
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 9537528500
Enrollment ID: I20230709000079

Medical Identifiers

Medical identifiers for Luke Boran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386329290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	70010268 (Washington)	Primary
152W00000X	Optometrist	4686ATI (Oregon)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Luke Boran allows following entities to bill medicare on his behalf.

Provider Name	Lifetime Vision Source Of Lebanon Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710168877 PECOS PAC ID: 6608773148 Enrollment ID: O20031215000247

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. Luke Boran 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 Address	Practice Location Address
Luke Boran, OD Po Box 89, Kelso, WA 98626-0102 Ph: (360) 414-8000	Luke Boran, OD 209 W Main St Ste 100, Kelso, WA 98626-1368 Ph: (360) 414-8000

Reviews and Comments

Optometrist in Kelso, WA

Three Rivers Eye Care, Ps Optometrist Medicare: Medicare Enrolled Practice Location: 209 West Main St., Suite 100, Kelso, WA 98626 Phone: 360-414-8000 Fax: 360-414-1100
Dr. Edward William Laulainen, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 209 West Main St., Suite 100, Kelso, WA 98626 Phone: 360-414-8000 Fax: 360-414-1100
Gregory A Webster, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1704 Allen St, Kelso, WA 98626 Phone: 360-577-0606 Fax: 360-636-2986

Luke Boran, OD - Medicare Optometrist in Kelso, WA