NPIMap

Organization Active NPI

Optometric Care of Oregon

  • Optometrist
  • Eugene, OR
National Provider Identifier
1215500855
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRIC CARE OF OREGON
Practice address
207 Coburg Rd Ste 105
Eugene, OR 97401-5601
Phone
(541) 338-4844
NPI assigned
Jul 21, 2021
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Steve JungNPI 1073616983
Title
Owner
Phone
(541) 338-4844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

207 Coburg Rd Ste 105
Eugene, OR 97401-5601

Mailing address

3333 Quality Dr
Rancho Cordova, CA 95670-7985

Other practice location 1

3333 Quality Dr
Rancho Cordova, CA 95670-7985
Phone (916) 407-7156

Other practice location 2

935 Royal Ave
Medford, OR 97504-6140
Phone (541) 779-2211

Other practice location 3

22640 SE Stark St
Gresham, OR 97030-2684
Phone (503) 667-0441

Other practice location 4

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

Other practice location 5

990 Broadway St NE
Salem, OR 97301-1421
Phone (503) 364-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220706000625 OR Part B Supplier - Clinic/Group Practice 4284014465 Receives reassigned benefits from 26 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salem, OR; Medford, OR; Eugene, OR; Corvallis, OR; Gresham, OR

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Optometric Care of Oregon5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

935 Royal Ave
Medford, OR 97504
Phone (541) 779-2211

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1215500855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 QUALITY DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 COBURG RD STE 105",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015601",
            "telephone_number": "541-338-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Quality Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "956707985",
            "country_code": "US",
            "telephone_number": "916-407-7156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Royal Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046140",
            "country_code": "US",
            "telephone_number": "541-779-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22640 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970302684",
            "country_code": "US",
            "telephone_number": "503-667-0441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1597 SW 53rd St",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973332630",
            "country_code": "US",
            "telephone_number": "541-757-8844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Broadway St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011421",
            "country_code": "US",
            "telephone_number": "503-364-0767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTOMETRIC CARE OF OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-338-4844"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.