Individual provider Active NPI

Jahaira Lassala, OD

  • Optometrist
  • Saint Helens, OR
National Provider Identifier
1295472033
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4623 Issued in OR
Practice address
2020 Columbia Blvd
Saint Helens, OR 97051-1737
Phone
(503) 397-4911
NPI assigned
May 13, 2022
Last updated
May 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ATI4623 OR Primary

Addresses

Primary practice location

2020 Columbia Blvd
Saint Helens, OR 97051-1737

Mailing address

418 NE Autumn Rose Way Apt B
Hillsboro, OR 97124-5323

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
I20220531002335 OR Practitioner - Optometry 6608254826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Family Vision Care LLCGroup PAC ID 5597935015, 2 clinicians

Practice addresses (Care Compare)

2020 Columbia Blvd
Saint Helens, OR 97051-1737
Phone (503) 397-4911

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
63.22
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
ATI4623ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Family Vision Care LLC Optometrist CurrentSince May 18, 2022 Accepting new patients
George W Curnutt OD PC Optometrist PastSince May 16, 2022 Accepting new patients

Locations

2020 Columbia Blvd
Saint Helens, OR 97051
Phone (503) 397-4911

Organizations & group practices 2

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": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1295472033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 NE AUTUMN ROSE WAY APT B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COLUMBIA BLVD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511737",
            "telephone_number": "503-397-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSALA",
        "first_name": "JAHAIRA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

Verify at the official NPI Registry.