- Practice location
- 9975 SW Frewing St Ste 130, Tigard, OR 97223-5091
- Phone
- 503-906-3596
- Fax
- 503-906-1014
- Last updated
- November 18, 2025
Converge Neuro Optometry LLC is a healthcare organization based in Tigard, OR. Converge Neuro Optometry LLC practices in Tigard, OR. The NPI Number for Converge Neuro Optometry LLC is 1427919729. The current practice location address for Converge Neuro Optometry LLC is 9975 SW Frewing St Ste 130, Tigard, OR 97223-5091 and can be reached out via phone at 503-906-3596 and via fax at 503-906-1014.
Provider Profile Details
- NPI Number
- 1427919729
- Provider Name
- Converge Neuro Optometry LLC
- Provider Entity Type
- Organization
- Address
- 9975 SW Frewing St Ste 130, Tigard, OR 97223-5091
- Phone Number
- 503-906-3596
- Fax Number
- 503-906-1014
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Macson Lee, OD · Ceo, OD, Fovdra · 650-521-4570
- Provider Enumeration Date
- November 18, 2025
- Last Update Date
- November 18, 2025
- Certification Date
- November 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9975 SW Frewing St Ste 130
Tigard, OR 97223-5091 - City
- Tigard
- State
- Oregon
- Zip
- 97223-5091
- Phone Number
- 503-906-3596
- Fax Number
- 503-906-1014
Provider Business Mailing Address Details
- Address
- 13010 SW Caspian CT
Beaverton, OR 97008-7760 - City
- Beaverton
- State
- OR
- Zip
- 97008-7760
- Phone Number
- 650-521-4570
License Information
- Taxonomy (1)
- Optometrist, Pediatrics · 152WP0200X
- Taxonomy (2)
- Optometrist, Sports Vision · 152WS0006X
- Taxonomy (3)
- Optometrist, Vision Therapy · 152WV0400X
- Taxonomy (4)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Tigard, OR
View all Optometrists in Tigard →Frequently Asked Questions
What is the NPI number of Converge Neuro Optometry LLC?
The NPI number of Converge Neuro Optometry LLC is 1427919729. It was assigned on November 18, 2025 and is currently active in the NPPES registry.
What is the specialty of Converge Neuro Optometry LLC?
Converge Neuro Optometry LLC is registered under the primary taxonomy Optometrist (code 152W00000X).
Where does Converge Neuro Optometry LLC practice?
The practice location is 9975 SW Frewing St Ste 130, Tigard, OR 97223-5091. The office can be reached at 503-906-3596 (phone) or 503-906-1014 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427919729 directly on the NPPES registry website.