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

Charles Bong, OD

Individual provider Optometrist · NPI 1649690314

Charles Bong, OD is an Optometry in Gresham, Oregon. Graduated from State University of New York - State College Optometry in 2013, 13 years ago. Practices with Kat Eye Corporation, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey and Oregon.

Years since qualifying
13
Trained at
State University of New York - State College Optometry
Licensed in
NJ, OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1201 SE 223rd Ave Ste 160
Gresham, OR 97030-2577
Phone: (503) 492-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence AT4555 (OR)
Optometrist Taxonomy 152W00000X · Licence 27OA00651800 (NJ)

Record details

NPI number1649690314
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 22, 2014
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address12822 Se 157th Ave Unit 202, Happy Valley, OR 97086-4333

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2013 (13 years in practice)
Group practice Kat Eye Corporation — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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