| Sunset Eye Clinic Llc | |
| 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7327 | |
| (503) 533-8441 | |
| (503) 533-8403 | 
| Full Name | Sunset Eye Clinic Llc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 1865 Nw 169th Pl, Beaverton, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174549364 | NPI | - | NPPES | 
| 270841 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 2877ATI (Oregon) | Primary | 
| Provider Name | Kenny B Lee | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1619905866 PECOS PAC ID: 6608862016 Enrollment ID: I20051011000911 | 
| Provider Name | Jacob T Janecek | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1992741441 PECOS PAC ID: 9638165046 Enrollment ID: I20051011000928 | 
| Provider Name | Tracy C Doll | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1700991916 PECOS PAC ID: 3375646342 Enrollment ID: I20070312000399 | 
| Provider Name | Ji Hyun Lee | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1679851752 PECOS PAC ID: 8628202926 Enrollment ID: I20130927000231 | 
| Provider Name | Chris O Jamus | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1245717792 PECOS PAC ID: 8527312339 Enrollment ID: I20181114002231 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sunset Eye Clinic Llc 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7327 Ph: (503) 533-8441 | Sunset Eye Clinic Llc 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7327 Ph: (503) 533-8441 | 
| Dr. Chelsea Nicole Territo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 18070 Nw Evergreen Pkwy, Beaverton, OR 97006 Phone: 971-348-3174 Fax: 503-439-8862 | |
| Dr. Chalres Albert Mcbride, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12370 Sw 1st St, Beaverton, OR 97005 Phone: 503-644-3614 Fax: 503-646-4069 | |
| Allie De La Cruz,  Optometrist Medicare: Medicare Enrolled Practice Location: 4655 Sw Griffith Dr Ste 165, Beaverton, OR 97005 Phone: 503-646-8592 Fax: 503-526-3989 | |
| Couple Of Eyes Vision Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2326 Nw Amberbrook Dr, Beaverton, OR 97006 Phone: 503-466-2966 Fax: 503-466-2008 | |
| Pacific University Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12600 Sw Crescent St, 130, Beaverton, OR 97005 Phone: 503-352-2020 Fax: 971-266-2963 | |
| Yanda Li,  Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20551 Sw Tesoro Ct, Beaverton, OR 97003 Phone: 857-300-9141 |