Active NPI
Dominic Jerome Dorazio, O.D.
- Optometrist
- Happy Valley, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AT4480
- Practice address
- 12050 SE Stevens Rd Ste 100
Happy Valley, OR 97086-7667 - Phone
- (503) 656-4221
- NPI assigned
- Aug 28, 2017
- Last updated
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC7054 | FL | |
| Optometrist | 152W00000X | AT4480 | OR | Primary |
Addresses
Primary practice location
12050 SE Stevens Rd Ste 100
Happy Valley, OR 97086-7667
Mailing address
1306 Division St
Oregon City, OR 97045-1523
Phone (503) 656-4221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1106
7533 Daffodil Way
Frisco, TX 75033-3154
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4480 | OR | MD | Dentist |
| AT4480 | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Eyecare, P.a. | Optometrist | Current | Accepting new patients |
| University of Houston System | Optometrist | Current | Accepting new patients |
| University of Houston | Current | Accepting new patients | |
| University of Houston System | Optometrist | Current | Accepting new patients |
Locations
1546 Stacy Rd
Ste 100
Allen, TX 75002
Phone (214) 226-1538
2525 Lucas Dr
Bldg 3
Dallas, TX 75219
Phone (214) 528-7354
655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800
4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921
Organizations & group practices 4
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.
-
- Community Health Worker
- Houston, TX
- NPI 1366081622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1235656547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 DIVISION ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451523",
"telephone_number": "503-656-4221",
"fax_number": "503-656-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12050 SE STEVENS RD STE 100",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970867667",
"telephone_number": "503-656-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAZIO",
"first_name": "DOMINIC",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC7054",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "AT4480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
- DJR 24Hourrs Residential LLC
- DNB Holdings, LLC (RENU Chiropractic Health)
- My-Trinh DO
- Ken Doan
- Michael Alan Doogan, MA TRANSPERSONAL STU
- Double Vision Inc (Happy Valley Vision Source)
- Kenneth Gregory Downing, D.M.D.
- Dr. Han Tran & Associates, P.C.
- Dr. Vonny Ngantung, D.D.S, M.S. (Northwest Orthodontic Specialists)
- Allise Drake
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.