Individual provider Active NPI

Taran L Lasater, O.D.

  • Optometrist
  • Bend, OR
National Provider Identifier
1265662381
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4667 Issued in OR
Practice address
336 SW Cyber Dr Ste 100
Bend, OR 97702-1684
Phone
(541) 382-5701
NPI assigned
Jul 23, 2009
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2607 OK
Optometrist 152W00000X ATI4667 OR Primary

Addresses

Primary practice location

336 SW Cyber Dr Ste 100
Bend, OR 97702-1684

Mailing address

336 SW Cyber Dr Ste 100
Bend, OR 97702-1684
Phone (541) 382-5701

Other identifiers 1

IdentifierTypeStateIssuer
OKA101673OtherOKPTAN

Other names 1

  • Taran L Kirby Former name

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
I20230621003341 OR Practitioner - Optometry 6305034174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Eyecare Holdings LLCGroup PAC ID 6507143724, 5 clinicians

Practice addresses (Care Compare)

336 SW Cyber Dr
Suite 100
Bend, OR 97702-1684
Phone (541) 382-5701

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
96.81
Improvement activities
40
Cost
54.63

Merit-based Incentive Payment System (MIPS)

Final score
82.44 of 100Reported as group
Quality
64.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ATI4667ORMDOptometrist
4667ORMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oregon Eyecare, PC Optometrist Current Accepting new patients
Integrated Eyecare Holdings, LLC Optometrist CurrentSince Aug 19, 2024 Accepting new patients
Central Oregon Eyecare, PC Optometrist CurrentSince Jun 19, 2023 Accepting new patients
Eye Associates of Oklahoma PLLC Optometrist CurrentSince Nov 6, 2022 Accepting new patients
Central Oregon Eyecare, PC Optometrist CurrentSince Jun 19, 2023 Accepting new patients

Locations

10801 S Western Ave
Ste 200
Oklahoma City, OK 73170
Phone (405) 703-8404

1455 S Douglas Blvd
Ste D
Oklahoma City, OK 73130
Phone (405) 733-4545

336 SW Cyber Dr
Ste 100
Bend, OR 97702
Phone (541) 382-5701

1000 SW Indian Ave
Redmond, OR 97756
Phone (541) 548-2488

Organizations & group practices 5

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1265662381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 SW CYBER DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021684",
            "telephone_number": "541-382-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 SW CYBER DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021684",
            "telephone_number": "541-382-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASATER",
        "first_name": "TARAN",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2607",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OKA101673",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARAN",
            "last_name": "KIRBY",
            "middle_name": "L",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.