# BRIDGEPORT EYE PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215135066
- **Authorized official:** BRUCE W MADSEN MD (OWNER)
- **Authorized official phone:** (541) 971-1514

## Contact information

- **Practice address:** 20015 SW PACIFIC HWY STE 150, SHERWOOD, OR 97140-9316
- **Practice address phone:** (503) 610-1025
- **Practice address fax:** (503) 610-1596
- **Mailing address:** 20015 SW PACIFIC HWY STE 150, SHERWOOD, OR 97140-9316
- **Mailing address phone:** (503) 610-1025
- **Mailing address fax:** (503) 610-1596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1670ATI | OR | — |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | DO22937 | OR | — |
| 207W00000X | Ophthalmology Physician | MD25517 | OR | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 08/27/2025
