Individual provider Active NPI

Rebecca Macdow, OD

  • Optometrist
  • Corvallis, OR
National Provider Identifier
1083391890
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4673 Issued in OR
Practice address
1597 SW 53Rd St
Corvallis, OR 97333-2630
Phone
(541) 757-8844
Fax
(541) 754-9810
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4673 OR Primary

Addresses

Primary practice location

1597 SW 53Rd St
Corvallis, OR 97333-2630

Mailing address

1597 SW 53Rd St
Corvallis, OR 97333-2630
Phone (541) 757-8844

Other practice location 1

1470 SW Knoll Ave Ste 102
Bend, OR 97702-3154
Phone (541) 797-0295

Other practice location 2

20508 SW Roy Rogers Rd Ste 125
Sherwood, OR 97140-9931
Phone (503) 625-0733

Other practice location 3

990 Broadway St NE Ste 100
Salem, OR 97301-1396
Phone (503) 364-0767

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731003420 OR Practitioner - Optometry 6709247281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Care of OregonGroup PAC ID 4284014465, 6 clinicians

Practice addresses (Care Compare)

1597 SW 53Rd St
Corvallis, OR 97333-2630
Phone (541) 757-8844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4673ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Care of Oregon Optometrist CurrentSince Mar 20, 2024 Accepting new patients
Optometric Care of Oregon Optometrist Current Accepting new patients
All Family Vision LLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Optometric Care of Oregon Optometrist CurrentSince Mar 20, 2024 Accepting new patients
Bend Family Vision Care LLC Optometrist PastSince Oct 22, 2023 Accepting new patients
Optometric Care of Oregon Optometrist Past Accepting new patients
Eye Impressions, LLC Optometrist PastSince Mar 11, 2015 Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

1470 SW Knoll Ave
Ste 102
Bend, OR 97702
Phone (503) 329-1696

1597 SW 53rd St
Corvallis, OR 97333
Phone (541) 757-8844

207 Coburg Rd
Ste 105
Eugene, OR 97401
Phone (541) 338-4844

22640 SE Stark St
Gresham, OR 97030
Phone (503) 667-0441

990 Broadway St NE
Ste 100
Salem, OR 97301
Phone (503) 364-0767

20508 SW Roy Rogers Rd
Ste 125
Sherwood, OR 97140
Phone (502) 625-0733

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1083391890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 SW 53RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973332630",
            "telephone_number": "541-757-8844",
            "fax_number": "541-754-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 SW 53RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973332630",
            "telephone_number": "541-757-8844",
            "fax_number": "541-754-9810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470 SW Knoll Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023154",
            "country_code": "US",
            "telephone_number": "541-797-0295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20508 SW Roy Rogers Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "OR",
            "postal_code": "971409931",
            "country_code": "US",
            "telephone_number": "503-625-0733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Broadway St NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011396",
            "country_code": "US",
            "telephone_number": "503-364-0767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDOW",
        "first_name": "REBECCA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.