Organization Active NPI

Oregon Retina Specialists, LLC

Doing business as Oregon Retina Center

  • Ophthalmology Physician
  • Medford, OR
National Provider Identifier
1285812123
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OREGON RETINA SPECIALISTS, LLC
Doing business as
Oregon Retina Center
Practice address
1518 E Barnett Rd
Medford, OR 97504-8281
Phone
(541) 770-2020
Fax
(541) 200-2599
NPI assigned
Feb 2, 2008
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Yujen Wang, MDNPI 1427048693
Title
Member
Phone
(541) 770-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X NU

Addresses

Primary practice location

1518 E Barnett Rd
Medford, OR 97504-8281

Mailing address

1518 E Barnett Rd
Medford, OR 97504-8281
Phone (541) 770-2020

Other practice location 1

1867 Williams Hwy Ste 107
Grants Pass, OR 97527-5854
Phone (541) 956-2020

Other practice location 2

2995 NW Edenbower Blvd
Roseburg, OR 97471-6209
Phone (541) 770-2020

Other identifiers 1

IdentifierTypeStateIssuer
218700MedicaidOR

Other names 1

  • Oregon Retina Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ywang@oregonretinaintellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080305000134 OR Part B Supplier - Clinic/Group Practice 1658456330 Receives reassigned benefits from 2 practitioners
Practice locations: Grants Pass, OR; Medford, OR; Roseburg, OR

National Provider Directory

National Provider Directory

Locations

1867 Williams Hwy
Ste 107
Grants Pass, OR 97527
Phone (541) 770-2020

Interoperability endpoints

  • Direct secure messaging: ywang@oregonretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1285812123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048281",
            "telephone_number": "541-770-2020",
            "fax_number": "541-200-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048281",
            "telephone_number": "541-770-2020",
            "fax_number": "541-200-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1867 Williams Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275854",
            "country_code": "US",
            "telephone_number": "541-956-2020",
            "fax_number": "541-200-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2995 NW Edenbower Blvd",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974716209",
            "country_code": "US",
            "telephone_number": "541-770-2020",
            "fax_number": "541-200-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OREGON RETINA SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YUJEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-770-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218700",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ywang@oregonretinaintellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1518 E Barnett Rd",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975048281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Oregon Retina Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oregon Retina Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.

Verify at the official NPI Registry.