Individual provider Active NPI

William Ray Losie, O.D.

  • Optometrist
  • Eugene, OR
National Provider Identifier
1104952910
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1709ATI Issued in OR
Practice address
1680 Chambers St Ste 101
Eugene, OR 97402-3655
Phone
(541) 686-1117
Fax
(541) 687-2158
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1709ATI OR Primary
Corneal and Contact Management Optometrist 152WC0802X 1709ATI OR
Low Vision Rehabilitation Optometrist 152WL0500X 1709ATI OR
Pediatric Optometrist 152WP0200X 1709ATI OR
Sports Vision Optometrist 152WS0006X 1709ATI OR
Vision Therapy Optometrist 152WV0400X 1709ATI OR
Occupational Vision Optometrist 152WX0102X 1709ATI OR

Addresses

Primary practice location

1680 Chambers St Ste 101
Eugene, OR 97402-3655

Mailing address

1680 Chambers St Ste 101
Eugene, OR 97402-3655
Phone (541) 686-1117

Other identifiers 2

IdentifierTypeStateIssuer
931295758OtherORVISION SERVICE PLAN
108225MedicaidOR

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
I20050920000239 OR Practitioner - Optometry 6507890589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1680 Chambers St
Suite 101
Eugene, OR 97402-3655
Phone (541) 686-1117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1709ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Losie O.D. P.C. Optometrist CurrentSince Mar 27, 2006 Accepting new patients
Margaret a. Foley OD, Fcovd, PC Vision Therapy PastSince Jan 1, 2012 Accepting new patients

Locations

1680 Chambers St
Ste 101
Eugene, OR 97402
Phone (541) 342-4243

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1104952910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 CHAMBERS ST STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023655",
            "telephone_number": "541-686-1117",
            "fax_number": "541-687-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 CHAMBERS ST STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023655",
            "telephone_number": "541-686-1117",
            "fax_number": "541-687-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSIE",
        "first_name": "WILLIAM",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1709ATI",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OR",
            "license": "1709ATI",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OR",
            "license": "1709ATI",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "1709ATI",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "OR",
            "license": "1709ATI",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "1709ATI",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "OR",
            "license": "1709ATI",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "931295758",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108225",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.