Pacific Optometry Services LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PACIFIC OPTOMETRY SERVICES LLC

Practice address

8952 SE Sunnyside Rd
Clackamas, OR 97015-9755

Phone

(503) 659-0170

NPI assigned

Oct 7, 2022

Last updated

Apr 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenna KoskeyNPI 1811348873

Title

OD

Phone

(248) 613-0225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenna Koskey, OD

  • Optometrist
  • Wasilla, AK
  • NPI 1811348873
  NPD Authorized official
• Charles Bong, O.D.

  • Optometrist
  • Gresham, OR
  • NPI 1649690314
  Medicare reassignment

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1417672999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WALNUT ST # 24008",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8952 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159755",
            "telephone_number": "503-659-0170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Caleb Dyer Ln",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "NH",
            "postal_code": "037483553",
            "country_code": "US",
            "telephone_number": "248-613-0225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC OPTOMETRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "KOSKEY",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "248-613-0225"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesssica Jamaica Owens, LMT
• Margaret Tracy Owens, CRNA
• Pacific Digestive Associates
• Pacific Digestive Associates, P.C. (Pacific Digestive Endoscopy Center)
• Pacific Northwest Renal Services, L.L.C. (PNRS-Clackamas Kidney Center)
• Frank John Pacosa, P.A.
• Meghan Padgett
• Mario Adan Padilla
• Nicholas Andrew Pagliari, CRNA
• Edward Sung Bae Pak

• Optometrist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.