Individual provider Active NPI

Vincent Todaro

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1215610605
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA217607 Issued in OR
Practice address
1011 Valley River Way Ste 110
Eugene, OR 97401-2127
Phone
(541) 342-2201
NPI assigned
Aug 10, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA217607 OR Primary

Addresses

Primary practice location

1011 Valley River Way Ste 110
Eugene, OR 97401-2127

Mailing address

1011 Valley River Way Ste 110
Eugene, OR 97401-2127
Phone (717) 226-0785

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115000702 OR Practitioner - Physician Assistant 2264884311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Vision PCGroup PAC ID 3173773694, 9 clinicians

Practice addresses (Care Compare)

1011 Valley River Way
Suite 110
Eugene, OR 97401-2127
Phone (541) 762-2763

535 9TH St
Florence, OR 97439-7388
Phone (541) 762-2763

707 Greenwood St
Junction City, OR 97448-1627
Phone (541) 762-2763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA217607ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Retina, LLP CurrentSince Jan 1, 2024 Accepting new patients
Oregon Retina, LLC Past Accepting new patients

Locations

1011 Valley River Way
Ste 110
Eugene, OR 97401
Phone (541) 342-2201

535 9th St
Florence, OR 97439
Phone (503) 997-3331

1594 Edgewater St NW
Ste 190
Salem, OR 97304
Phone (503) 779-2119

Interoperability endpoints

  • Direct secure messaging: vtodaro@orretina.intellechartdirect.net

Organizations & group practices 3

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1215610605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 VALLEY RIVER WAY STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012127",
            "telephone_number": "717-226-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 VALLEY RIVER WAY STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012127",
            "telephone_number": "541-342-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODARO",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA217607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.