Individual provider Active NPI

Ulysses Israel Velazquez, OD

  • Optometrist
  • Eugene, OR
National Provider Identifier
1225716277
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AT4670 Issued in OR
Practice address
1550 Oak St Ste 5
Eugene, OR 97401-7701
Phone
(541) 687-2110
Fax
(541) 484-3883
NPI assigned
Jul 10, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AT4670 OR Primary

Addresses

Primary practice location

1550 Oak St Ste 5
Eugene, OR 97401-7701

Mailing address

1550 Oak St Ste 5
Eugene, OR 97401-7701
Phone (541) 687-2110

Other practice location 1

2002 Highway 101
Florence, OR 97439-9723
Phone (541) 687-2110

Other practice location 2

1007 Harlow Rd Ste 100
Springfield, OR 97477-7124
Phone (541) 687-2110

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
I20230807002469 OR Practitioner - Optometry 9830550870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Fine Hoffman and Sims LLCGroup PAC ID 8628061215, 4 clinicians

Practice addresses (Care Compare)

1550 Oak St
Suite 5
Eugene, OR 97401-7701
Phone (541) 687-2110

Merit-based Incentive Payment System (MIPS)

Final score
93.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT4670ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Fine, Hoffman & Sims LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1550 Oak St
Ste 5
Eugene, OR 97401
Phone (541) 687-2110

330 S Garden Way
Ste 120
Eugene, OR 97401
Phone (541) 687-2110

330 S Garden Way
Ste 150
Eugene, OR 97401
Phone (541) 485-0316

2002 Highway 101
Florence, OR 97439
Phone (541) 683-2020

1007 Harlow Rd
Ste 100
Springfield, OR 97477
Phone (541) 687-2110

Organizations & group practices 1

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1225716277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OAK ST STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017701",
            "telephone_number": "541-687-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OAK ST STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017701",
            "telephone_number": "541-687-2110",
            "fax_number": "541-484-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Highway 101",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974399723",
            "country_code": "US",
            "telephone_number": "541-687-2110",
            "fax_number": "541-484-3883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Harlow Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974777124",
            "country_code": "US",
            "telephone_number": "541-687-2110",
            "fax_number": "541-484-3883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "ULYSSES",
        "middle_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "AT4670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.