Active NPI
Oli I Traustason, M.D.
- Ophthalmology Physician
- Redmond, OR
National Provider Identifier
1023019502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD09829
- Practice address
- 1775 SW Umatilla Ave
Redmond, OR 97756-7197 - Phone
- (541) 548-7170
- Fax
- (541) 548-3842
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD09829 | OR | Primary |
| Ophthalmology Physician | 207W00000X | MD00026268 | WA | |
| Ophthalmology Physician | 207W00000X | M-6100 | ID | |
| Ophthalmology Physician | 207W00000X | G33242 | CA |
Addresses
Primary practice location
1775 SW Umatilla Ave
Redmond, OR 97756-7197
Mailing address
1775 SW Umatilla Ave
Redmond, OR 97756-7197
Phone (541) 548-7170
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10283 | Other | OR | CLEAR CHOICE |
| A009 | Other | OR | TRIWEST CHAMPUS |
| 001193 | Medicaid | OR | |
| 200225 | Other | OR | COIHS |
| 053857009 | Other | OR | REGENCE BCBS |
| 180029258 | Other | OR | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G33242 | CA | MD | Ophthalmology Physician |
| M-6100 | ID | MD | Ophthalmology Physician |
| MD00026268 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orion Eye Center LLC | Ophthalmology | Current | Accepting new patients |
Locations
1475 SW Chandler Ave
Ste 102
Bend, OR 97702
Phone (541) 548-7170
1775 SW Umatilla Ave
Redmond, OR 97756
Phone (541) 548-7170
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eye Surgery Institute
- Ambulatory Surgical Clinic/Center
- Redmond, OR
- NPI 1063635506
-
- Ophthalmology Physician
- Redmond, OR
- NPI 1992044903
-
dba The Eye Surgery Institute
- Ophthalmology Physician
- Redmond, OR
- NPI 1528050523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1023019502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 SW UMATILLA AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977567197",
"telephone_number": "541-548-7170",
"fax_number": "541-548-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 SW UMATILLA AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977567197",
"telephone_number": "541-548-7170",
"fax_number": "541-548-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUSTASON",
"first_name": "OLI",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OR",
"license": "MD09829",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00026268",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ID",
"license": "M-6100",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G33242",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLEAR CHOICE",
"identifier": "10283",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST CHAMPUS",
"identifier": "A009",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001193",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COIHS",
"identifier": "200225",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "053857009",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180029258",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.