Individual provider Active NPI

Dominic Lemas, OD

  • Optometrist
  • Eugene, OR
National Provider Identifier
1255786265
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI-4358 Issued in OR
Practice address
1471 Pearl St
Eugene, OR 97401-4009
Phone
(541) 686-1237
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X ATI-4358 OR Primary

Addresses

Primary practice location

1471 Pearl St
Eugene, OR 97401-4009

Mailing address

655 Goodpasture Island Rd Apt 196
Eugene, OR 97401-1534
Phone (503) 740-7480

Other practice location 1

2221 Pacific Avenue
Forest Grove, OR 97116
Phone (503) 352-2020

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
I20190104001446 OR Practitioner - Optometry 2860738333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Center, IncGroup PAC ID 9931197969, 4 clinicians

Practice addresses (Care Compare)

1471 Pearl St
Eugene, OR 97401-4009
Phone (541) 686-1237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ATI-4358ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Center, Inc Optometrist CurrentSince Nov 12, 2018 Accepting new patients

Locations

1471 Pearl St
Eugene, OR 97401
Phone (541) 686-1237

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1255786265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 GOODPASTURE ISLAND RD APT 196",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011534",
            "telephone_number": "503-740-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014009",
            "telephone_number": "541-686-1237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 Pacific Avenue",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "97116",
            "country_code": "US",
            "telephone_number": "503-352-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMAS",
        "first_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI-4358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.