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Active NPI 1386329290 Individual Practitioner Male Practitioner

Dr. Luke Boran , OD

Optometrist • Kelso, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luke Boran, OD is a certified Optometrist practicing in Kelso, WA. With approximately 3 years of clinical experience since graduating from Pacific University - College Of Optometry in 2023, Dr. Boran delivers high-quality medical care to the local community at 209 W MAIN ST STE 100.

Dr. Boran maintains professional affiliations with Lifetime Vision Source Of Lebanon Llc, Three Rivers Eye Care Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

209 W Main St Ste 100

Kelso, WA 986261368

Telephone 3604148000
Fax 3604141100
Associated Practice Facility / Clinic
🏢 Three Rivers Eye Care, Ps Facility NPI 1104094143

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Kelso, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -14.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Kelso, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boran (3 Years) 3 Yrs
Kelso Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
85 57 $167.00 $87.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
33 31 $236.00 $123.06
92014 Established patient complete exam of visual system
20 20 $176.00 $122.34
92250 Photography of the retina
15 14 $154.00 $35.56

Medical Specialties & State Licenses

CMS Verified: 2025-10-16
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 70010268

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License OR 4686ATI

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

Lifetime Vision Source Of Lebanon Llc

90 Market St, Lebanon, OR 973552396

Phone: 5414511144

Three Rivers Eye Care Ps

209 W Main St, Kelso, WA 986261368

Phone: 3604148000

Three Rivers Eye Care Ps

209 W Main St, Kelso, WA 986261368

Phone: 3604148000

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1659350460

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 06, 2025

Registered at 209 W MAIN ST STE 100, KELSO, WA 986261368 (Tel: 3604148000)

📍
Updated Business Mailing Address October 06, 2025

Registered at PO BOX 89, KELSO, WA 986260102 (Tel: 3604148000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2025

Optometrist (License #70010268 in WA)

NPI Profile Active June 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2023

Registered at 90 MARKET ST STE 20, LEBANON, OR 973552396 (Tel: 5414512020)

📍
Updated Business Mailing Address June 19, 2023

Registered at 90 MARKET ST STE 20, LEBANON, OR 973552396 (Tel: 5414512020)

👤
Provider Name / Credentials Updated June 19, 2023

Recorded as LUKE BORAN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2023

Optometrist (License #4686ATI in OR)

🟢
Initial NPI Registration & Enumeration June 19, 2023

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: 1386329290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2023
Last Update: October 16, 2025
Sole Proprietor: No

Mailing Address

Po Box 89

Kelso, WA 986260102

Phone: 3604148000

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.