Karisa M Cervantes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AT4715 Issued in OR

Practice address

443 SW Evergreen Ave
Redmond, OR 97756-2817

Phone

(541) 923-2221

NPI assigned

May 25, 2023

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 names 1

• Karisa M Merrill Former name

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochoco Vision Source LLPGroup PAC ID 7113938440, 4 clinicians

High Desert EyecareGroup PAC ID 6901892801, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• High Desert Eyecare

  dba High Desert Vision Source

  • Optometrist
  • Redmond, OR
  • NPI 1801973110
  Medicare reassignment Care Compare group NPD
• Ochoco Vision Source LLP

  • Optometrist
  • Prineville, OR
  • NPI 1134172687
  Medicare reassignment Care Compare group NPD
• Drew M Perry OD Inc

  dba Hillsboro Vision Clinic

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1518003847
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1275225302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SW EVERGREEN AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562817",
            "telephone_number": "541-923-2221",
            "fax_number": "541-923-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SW EVERGREEN AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562817",
            "telephone_number": "541-923-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 NW Beaver St",
            "address_purpose": "LOCATION",
            "city": "Prineville",
            "state": "OR",
            "postal_code": "977541836",
            "country_code": "US",
            "telephone_number": "541-416-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "KARISA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "AT4715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARISA",
            "last_name": "MERRILL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Central Oregon Family Therapy
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Pharmacy and Compounding
• Cep America - Neurology PC
• Gretchen Irene Chadwick, OD
• Lee Ann Chamberlain, FNP
• Cameo Chambers
• Janet Chase
• Elmer Chavez-Castrejon, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.