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

Anita (Annie) Phromsivarak Bacon, OD

Individual provider Optometrist · NPI 1366583684

Anita (Annie) Phromsivarak Bacon, OD is an Optometry in Portland, Oregon. Graduated from New England College of Optometry in 2006, 20 years ago. Practices with Urban Eye Gallery, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
20
Trained at
New England College of Optometry
Licensed in
OR
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

921 SW 16th Ave
Portland, OR 97205-1730
Phone: (503) 227-0573
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3195AT (OR)

Record details

NPI number1366583684
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESMay 21, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2006 (20 years in practice)
Group practice Urban Eye Gallery, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portland