Pacific ClearVision Institute – Ophthalmology Physician, NPI 1699812719
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Pacific ClearVision Institute
1125 Darlene Ln
Suite 100
Eugene, OR 974011601
Phone: (541) 343-5000
Fax: (541) 344-9478
Type: Location
360 S GARDEN WAY STE 250
EUGENE, OR 974018175
Phone: (541) 343-0000
Fax: (541) 344-9478
Type: Mailing
1125, Darlene Lane, Eugene, Lane County, Oregon, 97401, United States
SUITE 100
EUGENE, OR 974011601
Phone: (541) 343-5000
Fax: (541) 344-9478
Type: Location
Darlene Lane, Eugene, Lane County, Oregon, 97404, United States
EUGENE, OR 974011601
Phone: (541) 343-0000
Fax: (541) 344-9478
Type: Mailing
489 W. South Jordan Parkway
Suite 300
South Jordan, UT 840958409
Phone: (385) 222-2020
Type: Location
257 N 8th St
Cottage Grove, OR 974241612
Phone: (541) 942-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (108 days away).
Enrollment records
2
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040407001562 | O | Clinic/Group Practice | OR | TBD |
| O20100930068169 | O | Physician - Optometrist | OR | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97401)
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