Active NPI
William R. Losie O.D. P.C.
- Optometrist
- Eugene, OR
National Provider Identifier
1275800559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1709ATI
- Legal business name
- WILLIAM R. LOSIE O.D. P.C.
- Practice address
- 1680 Chambers St
Suite 101
Eugene, OR 97402-3655 - Phone
- (541) 686-1117
- Fax
- (541) 687-2158
- NPI assigned
- Nov 30, 2011
- Last updated
- Apr 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Ray Losie, O.D.
- Title
- President
- Phone
- (541) 686-1117
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | ||
| Optometrist | 152W00000X | 1709ATI | OR | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 1709ATI | OR | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1709ATI | OR | |
| Pediatric Optometrist | 152WP0200X | 1709ATI | OR | |
| Sports Vision Optometrist | 152WS0006X | 1709ATI | OR | |
| Vision Therapy Optometrist | 152WV0400X | 1709ATI | OR | |
| Occupational Vision Optometrist | 152WX0102X | 1709ATI | OR |
Addresses
Primary practice location
1680 Chambers St
Suite 101
Eugene, OR 97402-3655
Mailing address
1680 Chambers St
Suite 101
Eugene, OR 97402-3655
Phone (541) 686-1117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| POOO70376 | Other | OR | RAILROAD MEDICARE |
| 108225 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1680 Chambers St
Ste 101
Eugene, OR 97402
Phone (541) 342-4243
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Eugene, OR
- NPI 1104952910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586131200000",
"number": "1275800559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 CHAMBERS ST",
"address_2": "SUITE 101",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023655",
"telephone_number": "541-686-1117",
"fax_number": "541-687-2158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 CHAMBERS ST",
"address_2": "SUITE 101",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023655",
"telephone_number": "541-686-1117",
"fax_number": "541-687-2158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM R. LOSIE O.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-30",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A",
"authorized_official_last_name": "LOSIE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-686-1117",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "1709ATI",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OR",
"license": "1709ATI",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "OR",
"license": "1709ATI",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "OR",
"license": "1709ATI",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "OR",
"license": "1709ATI",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OR",
"license": "1709ATI",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "OR",
"license": "1709ATI",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "POOO70376",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108225",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.