Individual provider Active NPI

Sarah Rothley Lucas, OD

  • Pediatric Optometrist
  • Portland, OR
National Provider Identifier
1154807295
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
AT-4372 Issued in OR
Practice address
3605 NE 15TH Ave
Portland, OR 97212-2358
Phone
(734) 730-2045
NPI assigned
Jul 12, 2018
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X AT-4372 OR Primary

Addresses

Primary practice location

3605 NE 15TH Ave
Portland, OR 97212-2358

Mailing address

3605 NE 15TH Ave
Portland, OR 97212-2358
Phone (734) 730-2045

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
I20180810002014 OR Practitioner - Optometry 4183972987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alberta Eye CareGroup PAC ID 1355575127, 7 clinicians
Eyestrong LLCGroup PAC ID 5496170797, 2 clinicians

Practice addresses (Care Compare)

2021 NE Alberta St
Portland, OR 97211-5847
Phone (503) 384-2489

3605 NE 15TH Ave
Portland, OR 97212-2358
Phone (503) 762-1080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT-4372ORMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alberta Eye Care Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Eyestrong, LLC Pediatrics CurrentSince Jul 1, 2023 Accepting new patients

Locations

3605 NE 15th Ave
Portland, OR 97212
Phone (503) 762-1080

2021 NE Alberta St
Portland, OR 97211
Phone (503) 384-2489

8787 N Lombard St
Portland, OR 97203
Phone (503) 406-6761

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1154807295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NE 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122358",
            "telephone_number": "734-730-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NE 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122358",
            "telephone_number": "734-730-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SARAH",
        "middle_name": "ROTHLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "AT-4372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.