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

Kevie Kawasaki, OD

Individual provider Optometrist · NPI 1740849199

Kevie Kawasaki, OD is an Optometry in Portland, Oregon. Graduated from Pacific University - College of Optometry in 2019, 7 years ago. Practices with Lake Oswego Vision Clinic LLC, a 3-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2019
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

14740 NW Cornell Rd Ste 110
Portland, OR 97229-5400
Phone: (503) 645-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 395 2nd St Se, Bandon, OR 97411-9605 — (541) 347-3622
  • 2155 Nw Shevlin Park Rd, Bend, OR 97703-7101 — (541) 647-2760
  • 15480 Boones Ferry Rd, Lake Oswego, OR 97035-3429 — (503) 635-1458
  • 65 Ne Oak St Ste 110, Madras, OR 97741-1814 — (541) 548-2488
  • 198 Ne Combs Flat Rd Ste 120, Prineville, OR 97754-2563 — (541) 447-5133
  • 1000 Sw Indian Ave, Redmond, OR 97756-3039 — (541) 548-2488
  • 625 N Arrowleaf Trl Ste 103, Sisters, OR 97759-2610 — (541) 549-2105

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ATI4462 (OR)

Record details

NPI number1740849199
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Lake Oswego Vision Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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