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

Dr. Keiji Jay Shiyomura, OD

Individual provider Vision Therapy Optometrist · NPI 1609527613

Dr. Keiji Jay Shiyomura, OD is an Optometry in Bend, Oregon. Graduated from Pacific University - College of Optometry in 2021, 5 years ago. Practices with Aeg Oregon Professional LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2022
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

61535 S Highway 97 Ste 16
Bend, OR 97702-2156
Phone: (541) 389-4774
Fax: (541) 389-3971
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ATI4607 (OR)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence ATI4607 (OR)

Record details

NPI number1609527613
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 11, 2022
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Aeg Oregon Professional Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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