Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851944656 Individual Practitioner Male Practitioner

Dr. Benjamin Pon , OD

Optometrist • Clackamas, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Pon, OD is a certified Optometrist practicing in Clackamas, OR. With approximately 7 years of clinical experience since graduating from Pacific University - College Of Optometry in 2019, Dr. Pon delivers high-quality medical care to the local community at 12100 SE STEVENS CT.

Dr. Pon is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

12100 Se Stevens Ct

Clackamas, OR 970864707

Telephone 8008132000
Fax 8555245255
Associated Practice Facility / Clinic
🏢 Lee Ghorbanian I Ltd Facility NPI 1710295407

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Clackamas, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -7.9 yrs vs City Avg
City Avg: 14.9 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
17 Specialists

Practicing in Clackamas, OR (975 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pon (7 Years) 7 Yrs
Clackamas Specialty Average (14.9 Years) 14.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-03
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR 4479

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

12100 Se Stevens Ct, Portland, OR 970864707

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

14406 Ne 20th Ave, Vancouver, WA 986861448

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

7101 Ne 137th Ave, Vancouver, WA 986824933

Phone: 8008132000

Secondary Practice Locations

30020 Sw Boones Ferry Rd Ste 10

Wilsonville, OR 970708912

Phone: 5035700963

1006 Lloyd Ctr

Portland, OR 972321266

Phone: 5032829752

970 Nw Eastman Pkwy

Gresham, OR 970305533

Phone: 5036667460

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nancy Waltz , MS CCC-SLP

Speech-Language Pathologist

NPI 1003054149

MSCCCSLP

Melissa Hill

Counselor - Addiction (Substance Use Disorder)

NPI 1003206236
NPI 1003251133

Doctor of Medicine (M.D.)

Rachael Scoones

Nurse Anesthetist, Certified Registered

NPI 1003524109
Danaya Hall , SWHNP

Nurse Practitioner

NPI 1003573825
Megan Martin , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1003579194

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 03, 2025

Registered at 12100 SE STEVENS CT, CLACKAMAS, OR 970864707 (Tel: 8008132000)

📍
Updated Business Mailing Address September 03, 2025

Registered at 500 NE MULTNOMAH ST STE 100, PORTLAND, OR 972322031 (Tel: 8008132000)

NPI Profile Active July 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2019

Registered at 1006 LLOYD CTR, PORTLAND, OR 972321266 (Tel: 5032829752)

📍
Updated Business Mailing Address July 20, 2019

Registered at 1926 W BURNSIDE ST UNIT 1314, PORTLAND, OR 972092081 (Tel: 9168386381)

👤
Provider Name / Credentials Updated July 20, 2019

Recorded as BENJAMIN PON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2019

Optometrist (License #4479 in OR)

🟢
Initial NPI Registration & Enumeration July 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851944656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2019
Last Update: September 03, 2025
Sole Proprietor: No

Mailing Address

500 Ne Multnomah St Ste 100

Portland, OR 972322031

Phone: 8008132000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.