Organization Active NPI

Bend Vision Clinic LLC

  • Ophthalmology Physician
  • La Pine, OR
National Provider Identifier
1285586180
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BEND VISION CLINIC LLC
Doing business as
Central Oregon Ophthalmology
Practice address
16440 3Rd St
La Pine, OR 97739-8002
Phone
(808) 220-8368
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maxine Harvey, DONPI 1073951240
Title
Owner/Physician
Phone
(808) 220-8368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

16440 3Rd St
La Pine, OR 97739-8002

Mailing address

54812 Pine Crest Rd
Bend, OR 97707-2360
Phone (808) 220-8368

Other names 1

  • Central Oregon Ophthalmology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260429003633 OR Part B Supplier - Clinic/Group Practice 9133696859 Receives reassigned benefits from 1 practitioner
Practice locations: La Pine, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1285586180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54812 PINE CREST RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977072360",
            "telephone_number": "808-220-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16440 3RD ST",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398002",
            "telephone_number": "808-220-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND VISION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "808-220-8368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Oregon Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Pine, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.