Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Converge Neuro Optometry LLC

Organization Optometrist · NPI 1427919729

Converge Neuro Optometry LLC is an Optometrist in Tigard, Oregon. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9975 SW Frewing St Ste 130
Tigard, OR 97223-5091
Phone: (503) 906-3596
Fax: (503) 906-1014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Pediatric Optometrist Taxonomy 152WP0200X
Sports Vision Optometrist Taxonomy 152WS0006X
Vision Therapy Optometrist Taxonomy 152WV0400X

Record details

NPI number1427919729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Macson Lee — Ceo, Od, Fovdra · (650) 521-4570
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address13010 Sw Caspian Ct, Beaverton, OR 97008-7760

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