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

Dr. Bret A. Provost, OD

Individual provider Optometrist · NPI 1528093556

Dr. Bret A. Provost, OD is an Optometry in Clackamas, Oregon. Graduated from Pacific University - College of Optometry in 2005, 21 years ago. Practices with River City Eyecare LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
21
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2006
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

9201 SE 91st Ave Ste 210
Clackamas, OR 97086-3760
Phone: (503) 775-2424
Fax: (503) 775-6181
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 3132 (OR)

Record details

NPI number1528093556
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESMay 4, 2010
Mailing address9201 Se 91st Ave, Suite 210, Clackamas, OR 97086-3760

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2005 (21 years in practice)
Group practice River City Eyecare Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clackamas