Individual provider Active NPI

Joebelle Pastores Bonete, OD

  • Optometrist
  • Portland, OR
National Provider Identifier
1427802156
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4725 Issued in OR
Practice address
1631 NE Broadway St # 210
Portland, OR 97232-1425
Phone
(971) 266-4277
NPI assigned
Apr 17, 2024
Last updated
Jul 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4725 OR Primary

Addresses

Primary practice location

1631 NE Broadway St # 210
Portland, OR 97232-1425

Mailing address

1631 NE Broadway St # 210
Portland, OR 97232-1425
Phone (971) 266-4277

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
I20250805003234 OR Practitioner - Optometry 7113435611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Care of OregonGroup PAC ID 4284014465, 6 clinicians

Practice addresses (Care Compare)

22640 SE Stark St
Gresham, OR 97030-2684
Phone (503) 667-0441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4725ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Care of Oregon Optometrist CurrentSince Jul 22, 2025 Accepting new patients
Optometric Care of Oregon Optometrist Current Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

207 Coburg Rd
Ste 105
Eugene, OR 97401
Phone (541) 338-4844

22640 SE Stark St
Gresham, OR 97030
Phone (503) 667-0441

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1427802156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 NE BROADWAY ST # 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321425",
            "telephone_number": "971-266-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 NE BROADWAY ST # 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321425",
            "telephone_number": "971-266-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONETE",
        "first_name": "JOEBELLE",
        "middle_name": "PASTORES",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.