Individual provider Active NPI

D Gregory Luce, O.D.

  • Pediatric Optometrist
  • Beaverton, OR
National Provider Identifier
1386631380
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
2235T Issued in OR
Practice address
14667 SW Teal Blvd
Beaverton, OR 97007-6194
Phone
(503) 579-2020
Fax
(503) 579-0404
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 2235T OR Primary

Addresses

Primary practice location

14667 SW Teal Blvd
Beaverton, OR 97007-6194

Mailing address

14667 SW Teal Blvd
Beaverton, OR 97007-6194
Phone (503) 579-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000518 OR Practitioner - Optometry 0840394698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D Gregory Luce OD PCGroup PAC ID 3678562071, 4 clinicians

Practice addresses (Care Compare)

14667 SW Teal Blvd
Beaverton, OR 97007-6194
Phone (503) 579-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2235TORMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
D Gregory Luce OD PC CurrentSince Jan 1, 1992 Accepting new patients

Locations

14667 SW Teal Blvd
Beaverton, OR 97007
Phone (503) 579-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386631380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14667 SW TEAL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076194",
            "telephone_number": "503-579-2020",
            "fax_number": "503-579-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14667 SW TEAL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076194",
            "telephone_number": "503-579-2020",
            "fax_number": "503-579-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCE",
        "first_name": "D",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "2235T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.