Individual provider Active NPI

Julia Sirianni, O.D.

  • Optometrist
  • Clackamas, OR
National Provider Identifier
1023344124
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3416ATI Issued in OR
Practice address
15259 SE 82ND Dr Ste 101
Clackamas, OR 97015-6609
Phone
(503) 657-0321
Fax
(503) 657-7066
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3416ATI OR Primary

Addresses

Primary practice location

15259 SE 82ND Dr Ste 101
Clackamas, OR 97015-6609

Mailing address

15259 SE 82ND Dr Ste 101
Clackamas, OR 97015-6609
Phone (503) 657-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121029000151 OR Practitioner - Optometry 3577713528 Reassigns benefits to 1 organization
I20170421001683 WA Practitioner - Optometry 3577713528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eye Care LLCGroup PAC ID 7416265194, 6 clinicians
Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

1401 SE 164TH Ave
Suite 100
Vancouver, WA 98683-9612
Phone (360) 546-2046

15259 SE 82ND Dr
Suite 101
Clackamas, OR 97015-6609
Phone (503) 657-0321

950 11TH Ave
Longview, WA 98632-2504
Phone (360) 577-1500

Merit-based Incentive Payment System (MIPS)

Final score
60 of 100Reported as group
Quality
20
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Aeg Washington Professional PC Optometrist CurrentSince Dec 10, 2023 Accepting new patients
Cascade Eye Care PS Optometrist CurrentSince Aug 17, 2023 Accepting new patients
Bruce R Wojciechowski Optometrist PastSince Jul 11, 2015 Accepting new patients

Locations

2020 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 453-2020

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

950 11th Ave
Longview, WA 98632
Phone (360) 425-0730

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1023344124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15259 SE 82ND DR STE 101",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156609",
            "telephone_number": "503-657-0321",
            "fax_number": "503-657-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15259 SE 82ND DR STE 101",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156609",
            "telephone_number": "503-657-0321",
            "fax_number": "503-657-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIANNI",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3416ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.