Individual provider Active NPI

Alida Bernadette Carlson, OD

  • Optometrist
  • Eugene, OR
National Provider Identifier
1154001071
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4729ATI Issued in OR
Practice address
1740 W 18TH Ave
Eugene, OR 97402-3625
Phone
(541) 343-5555
Fax
(541) 334-7605
NPI assigned
Jul 25, 2023
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4729ATI OR Primary

Addresses

Primary practice location

1740 W 18TH Ave
Eugene, OR 97402-3625

Mailing address

1740 W 18TH Ave
Eugene, OR 97402-3625
Phone (541) 343-5555

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
I20240725004567 OR Practitioner - Optometry 8123564101 Reassigns benefits to 1 organization

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
Rainbow Optics, PCGroup PAC ID 6406843598, 7 clinicians

Practice addresses (Care Compare)

1740 W 18TH Ave
Eugene, OR 97402-3625
Phone (541) 343-5555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61465284WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Optics, PC Optometrist CurrentSince Aug 12, 2024 Accepting new patients
Rainbow Optics, PC Optometrist CurrentSince Aug 12, 2024 Accepting new patients

Locations

1740 W 18th Ave
Eugene, OR 97402
Phone (541) 343-5555

2540 Willakenzie Rd
Eugene, OR 97401
Phone (541) 484-9999

2675 Willamette St
Eugene, OR 97405
Phone (541) 343-3333

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, 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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1154001071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023625",
            "telephone_number": "541-343-5555",
            "fax_number": "541-334-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023625",
            "telephone_number": "541-343-5555",
            "fax_number": "541-334-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ALIDA",
        "middle_name": "BERNADETTE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4729ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.