Individual provider Active NPI

Nathan Cazmersen, OD

  • Optometrist
  • Portland, OR
National Provider Identifier
1336983618
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4742 Issued in OR
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

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716003397 OR Practitioner - Optometry 8628583788 Reassigns benefits to 2 organizations

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
Infocus Eye Care LLCGroup PAC ID 2365436755, 7 clinicians
Central Oregon Eyecare PCGroup PAC ID 8426945783, 6 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ATI4742ORMDOptometrist
4742ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oregon Eyecare, PC Optometrist CurrentSince Jun 2, 2025 Accepting new patients
Infocus Eye Care LLC Optometrist CurrentSince Oct 3, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.