Rosiland Lynn Hursh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2690ATI Issued in OR

Practice address

8269 SW Wilsonville Rd Ste G
Wilsonville, OR 97070-7719

Phone

(503) 685-9015

Fax

(503) 682-8696

NPI assigned

Aug 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innervision Optometric Inc.Group PAC ID 2567453160, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://eyetoeyewilsonville.ef.prod.fhir.ema-api.com/fhir/r4/

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.

• Innervision Optometric Inc.

  dba Eye to Eye Clinic Wilsonville

  • Optometrist
  • Wilsonville, OR
  • NPI 1962534578
  Medicare reassignment Care Compare group NPD Authorized official
• Kentana Inc

  dba Eye To Eye Clinic

  • Optometrist
  • West Linn, OR
  • NPI 1578686002
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1225020910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 SW WILSONVILLE RD STE G",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707719",
            "telephone_number": "503-685-9015",
            "fax_number": "503-682-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8269 SW WILSONVILLE RD STE G",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707719",
            "telephone_number": "503-685-9015",
            "fax_number": "503-682-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURSH",
        "first_name": "ROSILAND",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2690ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HMO/FC 65",
            "identifier": "300200802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "831474002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Howard, DPT
• Mary Helen Huber, PT, DPT
• Jerry Huff Jr.
• Timothy B Hughes, DPT, PT
• Gina Dever Huntley, LMT
• Scott Iburg, O.D.
• Imaginative Healing Collective
• Elaine Imoniruwe
• Innervision Optometric Inc. (Eye to Eye Clinic Wilsonville)
• Interventional and Vascular Consultants PC

• Optometrist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.