Individual provider Active NPI

Artin Monghate, OD

  • Optometrist
  • Lake Oswego, OR
National Provider Identifier
1710697156
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4697 Issued in OR
Practice address
17777 Lower Boones Ferry Rd
Lake Oswego, OR 97035-5398
Phone
(503) 635-8819
NPI assigned
Nov 28, 2022
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ATI4697 OR Primary

Addresses

Primary practice location

17777 Lower Boones Ferry Rd
Lake Oswego, OR 97035-5398

Mailing address

3009 NW Utah St
Camas, WA 98607-7329
Phone (360) 356-8194

Other practice location 1

15480 Boones Ferry Rd
Lake Oswego, OR 97035-3429
Phone (503) 635-1458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MP, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231028000217 MP Practitioner - Ophthalmology 9436505393 Reassigns benefits to 1 organization
I20240518000394 OR Practitioner - Optometry 9436505393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17777 Lower Boones Ferry Rd
Lake Oswego, OR 97035-5398
Phone (503) 635-8819

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel a. Robison, O.D., LLC Optometrist CurrentSince May 6, 2024 Accepting new patients
Marianas Eye Institute Inc Optometrist CurrentSince Jul 1, 2023 Accepting new patients

Locations

17777 Lower Boones Ferry Rd
Lake Oswego, OR 97035
Phone (503) 635-8819

17777 Lower Boones Ferry Rd
Ste B
Lake Oswego, OR 97035

17777 Lower Boones Ferry Rd
#R
Lake Oswego, OR 97035

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1710697156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 NW UTAH ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077329",
            "telephone_number": "360-356-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 LOWER BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355398",
            "telephone_number": "503-635-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15480 Boones Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970353429",
            "country_code": "US",
            "telephone_number": "503-635-1458",
            "fax_number": "503-635-0162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONGHATE",
        "first_name": "ARTIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.