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

Portland Vision LLC

Organization Ophthalmology Physician · NPI 1245101393

Portland Vision LLC is an Ophthalmology Physician in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
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

1916 NE Broadway St
Portland, OR 97232-1502
Phone: (503) 546-4193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1245101393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shamis Fallah — Managing Member · (510) 734-4567
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address1204 Se Lexington St, Portland, OR 97202-6364

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