Individual provider Active NPI

Beth Rachel Gabbard, O.D.

  • Optometrist
  • Clackamas, OR
National Provider Identifier
1518902089
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3556AT Issued in OR
Practice address
12817 SE 93Rd Ave
Clackamas, OR 97015-5735
Phone
(503) 783-3300
Fax
(503) 783-3319
NPI assigned
Jun 18, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD 60529922 WA
Optometrist 152W00000X 3556AT OR Primary
Optometrist 152W00000X 046-009692 IL
Optometrist 152W00000X 6553T TX

Addresses

Primary practice location

12817 SE 93Rd Ave
Clackamas, OR 97015-5735

Mailing address

PO Box 22009
Portland, OR 97269
Phone (503) 558-7372

Other practice location 1

3978 N Williams Ave
Portland, OR 97227-1445
Phone (503) 493-7070

Other practice location 2

8046 SE 13th Ave
Portland, OR 97202-6606
Phone (503) 420-8689

Other practice location 3

12 SE 28th Ave
Portland, OR 97214-1802
Phone (503) 282-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150219001757 OR Practitioner - Optometry 7810996154 Reassigns benefits to 3 organizations
I20200409002650 WA Practitioner - Optometry 7810996154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

Practice addresses (Care Compare)

12817 SE 93Rd Ave
Clackamas, OR 97015-5735
Phone (503) 783-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009692ILMDOptometrist
3556ATORMDOptometrist
6553TTXMDOptometrist
OD 60529922WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 7, 2015 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Feb 11, 2020 Accepting new patients
Eye Health Northwest, PC CurrentSince Mar 18, 2026 Accepting new patients
Aeg Oregon Professional LLC Optometrist CurrentSince Jul 27, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 7, 2015 Accepting new patients
Eye Health Northwest P.C. Optometrist CurrentSince Mar 18, 2026 Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients

Locations

12817 SE 93rd Ave
Clackamas, OR 97015
Phone (503) 783-3300

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

19500 SE Stark St
Portland, OR 97233
Phone (503) 669-3900

8136 SE Foster Rd
Ste 260
Portland, OR 97206
Phone (503) 546-4460

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

2211 E Mill Plain Blvd
Vancouver, WA 98661
Phone (360) 418-6001

Organizations & group practices 9

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1518902089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97269",
            "telephone_number": "503-558-7372",
            "fax_number": "503-344-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12817 SE 93RD AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155735",
            "telephone_number": "503-783-3300",
            "fax_number": "503-783-3319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3978 N Williams Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271445",
            "country_code": "US",
            "telephone_number": "503-493-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8046 SE 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026606",
            "country_code": "US",
            "telephone_number": "503-420-8689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 SE 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141802",
            "country_code": "US",
            "telephone_number": "503-282-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "BETH",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 60529922",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3556AT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009692",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6553T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.