Converge Neuro Optometry LLC

NPI #1427919729 in Tigard, Oregon

Provider Information

NPI Number: 1427919729
Entity Type: Organization
Organization Name: Converge Neuro Optometry LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 18, 2025
Last Updated: Nov 18, 2025

Practice Location

Address: 9975 SW FREWING ST STE 130
City: Tigard
State: Oregon
ZIP Code: 97223-5091
Phone: (503) 906-3596

Authorized Official

Name: MACSON LEE, O.D.
Title: CEO, OD, FOVDRA
Phone: (650) 521-4570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Sports Vision — Sports Vision	152WS0006X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist	152W00000X	Primary

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