Active NPI
Nathan Cazmersen, OD
- Optometrist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ATI4742
- Practice address
- 3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964 - Phone
- (503) 220-8262
- NPI assigned
- Jun 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ATI4742 | OR | Primary |
Addresses
Primary practice location
3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Mailing address
1384 NW Murphy LN
Albany, OR 97321-1500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2450 NE Mary Rose PL
Suite 110
Bend, OR 97701-7132
Phone (541) 318-8388
625 N Arrowleaf TRL
Suite 103
Sisters, OR 97759-2610
Phone (541) 549-2105
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATI4742 | OR | MD | Optometrist |
| 4742 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Oregon Eyecare, PC | Optometrist | Current | Accepting new patients |
| Infocus Eye Care LLC | Optometrist | Current | Accepting new patients |
| Central Oregon Eyecare, PC | Optometrist | Current | Accepting new patients |
| Central Oregon Eyecare, PC | Optometrist | Past | Accepting new patients |
Locations
2450 NE Mary Rose Pl
Ste 110
Bend, OR 97701
Phone (541) 318-8388
65 NE Oak St
Ste 110
Madras, OR 97741
Phone (541) 475-9999
198 NE Combs Flat Rd
Ste 120
Prineville, OR 97754
Phone (541) 447-5133
1000 SW Indian Ave
Redmond, OR 97756
Phone (541) 548-2488
625 N Arrowleaf Trl
Ste 103
Sisters, OR 97759
Phone (541) 549-2105
Interoperability endpoints
- ncazmersen@directaddress.net
Organizations & group practices 4
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.
-
- Optometrist
- Redmond, OR
- NPI 1073715157
-
- Optometrist
- Bend, OR
- NPI 1912389511
-
- Optometrist
- Prineville, OR
- NPI 1811174550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1336983618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1384 NW MURPHY LN",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392964",
"telephone_number": "503-220-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAZMERSEN",
"first_name": "NATHAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "ATI4742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.