DR. CARRIE LYNN BREEDEN (O.D.) – Optometrist, NPI 1528216793

DR. CARRIE LYNN BREEDEN (O.D.) is a healthcare provider. based in Clackamas, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3261ATI (OR). The NPI Number for DR. CARRIE LYNN BREEDEN (O.D.) is 1528216793

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARRIE LYNN BREEDEN (O.D.)
NPI
1528216793
Phone
(503) 775-2424
Address
9201 SE 91ST AVE
Enumeration Date
29 August 2008
Last Update Date
26 August 2015

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5037752424
Graduation Year
2008 (18 years ago)
PAC ID
0648319038
Group Practice PAC ID
5294874673
Professional Enrollment ID
I20091130000418
Address ID
OR970863760CL9201XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Loading map...

Provider Addresses for DR. CARRIE LYNN BREEDEN (O.D.)

  • 9201, Southeast 91st Avenue, Battin, Happy Valley, Metro, Clackamas County, Oregon, 97086, United States

    SUITE 130

    CLACKAMAS, OR 970863760

    Phone: (503) 775-2424

    Fax: (503) 775-6181

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-03-01 • Largest payer in this snapshot: Optos, Inc. ($39).

Total Amount

$60

General + Research + Ownership

Payments

2

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Optos, Inc.$39
Alcon Vision LLC$20
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: 2009-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20091130000418IOptometryORTBD

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
92250Photography of the retina1212$0
View full utilization report →

Insurance plans in this area (ZIP 97086)

Loading plans...

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: 5294874673View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. CARRIE LYNN BREEDEN (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. CARRIE LYNN BREEDEN (O.D.) with NPI 1528216793.
Can I rely on DR. CARRIE LYNN BREEDEN (O.D.) being an active provider?
As of the registry snapshot, DR. CARRIE LYNN BREEDEN (O.D.) is marked active.
What is DR. CARRIE LYNN BREEDEN (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. CARRIE LYNN BREEDEN (O.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. CARRIE LYNN BREEDEN (O.D.) based?
DR. CARRIE LYNN BREEDEN (O.D.) is tied to Clackamas, Oregon in the data we show; additional addresses may exist on the full record.
Is the information about DR. CARRIE LYNN BREEDEN (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

Southeast Stark Street, Russellville, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97216, United States
NPI: 1518902089
9201, Southeast 91st Avenue, Battin, Happy Valley, Metro, Clackamas County, Oregon, 97086, United States
NPI: 1528093556
13865, Southeast 119th Drive, Clackamas, Clackamas County, Oregon, 97015, United States
NPI: 1871606293
Southeast Stevens Court, Happy Valley, Clackamas County, Oregon, 97806, United States
NPI: 1356446900
Christian Life Church Incorporated, 15259, Southeast 82nd Drive, Clackamas, Metro, Clackamas County, Oregon, 97015, United States
NPI: 1437247533
4435, Southeast 43rd Avenue, Creston-Kenilworth, Portland, Multnomah County, Oregon, 97206, United States
NPI: 1558576546
Costco, 13130, Southeast 84th Avenue, Harmony, Clackamas County, Oregon, 97015, United States
NPI: 1619183712
Christian Life Church Incorporated, 15259, Southeast 82nd Drive, Clackamas, Metro, Clackamas County, Oregon, 97015, United States
NPI: 1699976530
11461, Southeast Highland Loop, Clackamas, Clackamas County, Oregon, 97015, United States
NPI: 1497983811