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

Eyedentity Vision Center PC

Organization Optometrist · NPI 1003930132

Eyedentity Vision Center PC is an Optometrist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2609 SE Clinton St
Portland, OR 97202-1240
Phone: (503) 238-1139
Fax: (503) 235-6574
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2408T (OR)

Record details

NPI number1003930132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Clouse — President · (503) 238-1139
Other names Steven J. Clouse, Od
NPI enumeratedMarch 16, 2007
Last updated in NPPESOctober 16, 2009
Mailing address2609 Se Clinton St, Portland, OR 97202-1240

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