Individual provider Active NPI

Jay Kaimas Patel, OD

  • Optometrist
  • Gresham, OR
National Provider Identifier
1346009255
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4817 Issued in OR
Practice address
22640 SE Stark St
Gresham, OR 97030-2684
Phone
(503) 667-0441
NPI assigned
Mar 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4817 OR Primary

Addresses

Primary practice location

22640 SE Stark St
Gresham, OR 97030-2684

Mailing address

14938 SE Francesca LN
Happy Valley, OR 97086-2855
Phone (503) 989-3588

Other practice location 1

990 Broadway St NE
Salem, OR 97301-1421
Phone (503) 364-0767

Other practice location 2

970 NW Eastman Pkwy
Gresham, OR 97030-5533
Phone (503) 666-7460

Other practice location 3

12000 SE 82nd Ave Ste 2193
Happy Valley, OR 97086-7746
Phone (503) 659-5947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240525000027 NV Practitioner - Optometry 4385086032 Reassigns benefits to 2 organizations
I20260518002093 OR Practitioner - Optometry 4385086032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive EyecareGroup PAC ID 8820274616, 5 clinicians

Practice addresses (Care Compare)

1513 W Craig Rd
Suite 1
North Las Vegas, NV 89032-0234
Phone (702) 368-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4817ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD PC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Progressive Eyecare Optometrist CurrentSince Mar 3, 2025 Accepting new patients

Locations

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

740 S Rampart Blvd
Ste 6
Las Vegas, NV 89145
Phone (702) 331-4247

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 515-0200

4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521

1513 W Craig Rd
Ste 1
North Las Vegas, NV 89032
Phone (702) 368-2021

Organizations & group practices 6

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1346009255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14938 SE FRANCESCA LN",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862855",
            "telephone_number": "503-989-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22640 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302684",
            "telephone_number": "503-667-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Broadway St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011421",
            "country_code": "US",
            "telephone_number": "503-364-0767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 NW Eastman Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305533",
            "country_code": "US",
            "telephone_number": "503-666-7460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12000 SE 82nd Ave Ste 2193",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "970867746",
            "country_code": "US",
            "telephone_number": "503-659-5947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "middle_name": "KAIMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.