Stephanie Rettenmeier

Primary specialty

OptometristTaxonomy code 152W00000X

License

4301ATI Issued in OR

Practice address

901 NW Carlon Ave
Bend, OR 97703-2636

Phone

(541) 382-3242

Fax

(541) 317-3579

NPI assigned

Mar 29, 2016

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

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifetime Vision Care LLCGroup PAC ID 4981866795, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.rettenmeier@direct.revolutionehr.com
• FHIR API: https://eyetoeyewilsonville.ef.prod.fhir.ema-api.com/fhir/r4/

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.

• Lifetime Vision Care LLC

  • Medical Specialty Clinic/Center
  • Bend, OR
  • NPI 1073886412
  Medicare reassignment Care Compare group NPD
• Innervision Optometric Inc.

  dba Eye to Eye Clinic Wilsonville

  • Optometrist
  • Wilsonville, OR
  • NPI 1962534578
  Medicare reassignment NPD
• Lifetime Vision Care

  • Optometrist
  • Bend, OR
  • NPI 1508961731
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1295197226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NW CARLON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032636",
            "telephone_number": "262-490-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW CARLON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032636",
            "telephone_number": "541-382-3242",
            "fax_number": "541-317-3579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8269 SW Wilsonville Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970707719",
            "country_code": "US",
            "telephone_number": "503-685-9015",
            "fax_number": "503-682-8696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETTENMEIER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4301ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resolve Physical Therapy
• Restored Core Physical Therapy LLC
• Restored Soul Counseling (Tara Sobrio Counseling LLC)
• Results Neck & Back Therapy LLC
• Retina Clinic of the Cascades, PC
• Alyssa Campbell Reveles, MA, LPC
• Alison Geniec Revling, DDS
• Jeffrey Rex
• Ariana Reyes
• Sarah Reynolds-Jackson, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.