Bridgetown Optometric Associates LLC

Public-record details

Address

12923 Nw Cornell Rd Ste 203, Portland, OR 97229

Phone

(503) 645-5076

Listed under

Optometry practices, Medicare-enrolled groups (CMS)

NPI

1336515741

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Optometrist (152W00000X)

License number on NPI record

3608ATI (OR)

Authorized official

Michael Olma, OD, Partner

NPI first issued

Aug 19, 2015

Years since NPI first issued

11 years (since 2015)

License state on NPI record

OR

NPI record last updated

Mar 1, 2022

Medicare group enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians as Bridgetown Optometric Associates LLC

Clinicians in the Medicare group (all specialties, CMS)

4

Optometrists and ophthalmologists in the group at this ZIP (CMS)

4

Group Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Other practice locations (NPPES)

1: Tigard, OR

NPI 1336515741 is active in the federal NPPES registry (CMS) with Optometrist as its self-reported primary taxonomy; license 3608ATI (OR) is listed on the record. CMS Doctors & Clinicians lists a Medicare-enrolled group with this name at this ZIP. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

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What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Optometrists (OD) examine eyes, prescribe glasses and contact lenses and treat some eye conditions; what they may treat varies by state. Confirm each clinician's license with the state optometry board.

View NPI 1336515741 in the official registry ↗