TVC OD, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TVC OD, LLC

Practice address

2101 5TH St
Tillamook, OR 97141-2330

Phone

(503) 842-5568

Fax

(503) 842-1122

NPI assigned

Jun 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lee Johnson, ODNPI 1104113497

Title

Member

Phone

(360) 601-2953

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Michael Johnson, O.D.

  • Optometrist
  • Tillamook, OR
  • NPI 1104113497
  Medicare reassignment Care Compare group Authorized official
• Christopher Don Jenck, OD

  • Optometrist
  • Tillamook, OR
  • NPI 1497470199
  Medicare reassignment Care Compare group
• Shauntel Steele, OD

  • Optometrist
  • Aloha, OR
  • NPI 1851060420
  Medicare reassignment

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1790215192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 5TH ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412330",
            "telephone_number": "503-842-5568",
            "fax_number": "503-842-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 5TH ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412330",
            "telephone_number": "503-842-5568",
            "fax_number": "503-842-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38505 Brooten Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Pacific City",
            "state": "OR",
            "postal_code": "971358049",
            "country_code": "US",
            "telephone_number": "503-842-5568",
            "fax_number": "503-842-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TVC OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-601-2953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra M Torres, PMHNP
• Trask River Therapy LLC
• Jennifer L Travis, QMHP
• Benjamin J Turman
• Michelle Charlene Turner, LCSW
• Krystine Valle
• Michael John Veverka, M.D.
• Jamie Helene Villemonte, LCSW
• Tami Rennels Waddell, LCSW
• Dennis S Wagner, DMD

• Clinic/Center in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.