Active NPI
Julie Catherine Rysenga, MD
- Ophthalmology Physician
- Ontario, OR
National Provider Identifier
1023082138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 18740
- Practice address
- 1050 SW 3Rd Ave
Suite 2200
Ontario, OR 97914-2193 - Phone
- (541) 881-1300
- Fax
- (541) 889-4321
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 18740 | OR | Primary |
Addresses
Primary practice location
1050 SW 3Rd Ave
Suite 2200
Ontario, OR 97914-2193
Mailing address
1050 SW 3Rd Ave
Suite 2200
Ontario, OR 97914-2193
Phone (541) 881-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BBMD2 | Other | ID | BLUE CROSS OF ID |
| 064472 | Medicaid | OR |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091207000300 | OR | Practitioner - Ophthalmology | 3375682263 | Practice locations: Ontario, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Medical School at San Antonio, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
932 W Idaho Ave
Suite 101
Ontario, OR 97914-2155
Phone (541) 881-1300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 224 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18740 | OR | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023082138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 SW 3RD AVE",
"address_2": "SUITE 2200",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142193",
"telephone_number": "541-881-1300",
"fax_number": "541-889-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SW 3RD AVE",
"address_2": "SUITE 2200",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142193",
"telephone_number": "541-881-1300",
"fax_number": "541-889-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYSENGA",
"first_name": "JULIE",
"middle_name": "CATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OR",
"license": "18740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID",
"identifier": "BBMD2",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064472",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- 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.