RICHARD DALLIN BOARDMAN – Optometrist, NPI 1346764511

RICHARD DALLIN BOARDMAN is a healthcare provider. based in Forest grove, Oregon. specializing in OPTOMETRY. They hold a License No. ODP-100444 (ID). The NPI Number for RICHARD DALLIN BOARDMAN is 1346764511

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD DALLIN BOARDMAN
NPI
1346764511
Phone
(208) 821-1920
Address
2727 22nd Ave Apt 32
Enumeration Date
31 July 2017
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4357877200
Graduation Year
2018 (8 years ago)
PAC ID
3678820479
Group Practice PAC ID
4880901859
Professional Enrollment ID
I20190919001605
Address ID
UT843215929LO810XX100X301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for RICHARD DALLIN BOARDMAN

  • 2727 22nd Ave Apt 32

    Forest Grove, OR 971161834

    Phone: (208) 821-1920

    Type: Location

  • 4013 Yellowstone Ave Ste D

    Chubbuck, ID 83202

    Phone: (208) 297-7019

    Fax: (208) 297-7518

    Type: Location

  • 3485 N COLE RD UNIT 45479

    BOISE, ID 837111095

    Phone: (208) 297-7019

    Type: Mailing

  • 810 S 100 W STE A

    LOGAN, UT 843216093

    Phone: (435) 787-7200

    Fax: (435) 787-7203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($37).

Total Amount

$82

General + Research + Ownership

Payments

4

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180725002124IOptometryIDTBD
I20190919001605IOptometryUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92134Imaging of retina5552$0
99214Established patient office or other outpatient visit, 30-39 minutes5151$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
99213Established patient office or other outpatient visit, 20-29 minutes3331$0
92025Ct scan of cornea3030$0
View full utilization report →

Insurance plans in this area (ZIP 97116)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880901859View full group profile
NameSpecialtyState
O P H T H A L M O L O G YUT

Reviews

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Frequently asked questions

Can I cross-check RICHARD DALLIN BOARDMAN using NPI 1346764511?
NPI 1346764511 belongs to RICHARD DALLIN BOARDMAN; compare other details if you need extra assurance.
Is there an active status for RICHARD DALLIN BOARDMAN?
For scheduling context, RICHARD DALLIN BOARDMAN is shown as active in the registry.
What area of care is associated with RICHARD DALLIN BOARDMAN?
RICHARD DALLIN BOARDMAN's record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with RICHARD DALLIN BOARDMAN?
Directory geography for RICHARD DALLIN BOARDMAN centers on Forest Grove, Oregon.
Does RICHARD DALLIN BOARDMAN accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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