Individual provider Active NPI

Diane Robbins-Luce, O.D.

  • Corneal and Contact Management Optometrist
  • Beaverton, OR
National Provider Identifier
1447247440
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2236T Issued in OR
Practice address
14667 SW Teal Blvd
Beaverton, OR 97007-6194
Phone
(503) 579-2020
Fax
(503) 579-0404
NPI assigned
Oct 4, 2005
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2236T OR Primary

Addresses

Primary practice location

14667 SW Teal Blvd
Beaverton, OR 97007-6194

Mailing address

14667 SW Teal Blvd
Beaverton, OR 97007-6194
Phone (503) 579-2020

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
I20090827000229 OR Practitioner - Optometry 1759485501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D Gregory Luce OD PCGroup PAC ID 3678562071, 4 clinicians

Practice addresses (Care Compare)

14667 SW Teal Blvd
Beaverton, OR 97007-6194
Phone (503) 579-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2236TORMDCorneal and Contact Management Optometrist
2236ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
D Gregory Luce OD PC Corneal and Contact Management CurrentSince Mar 2, 1998 Accepting new patients

Locations

14667 SW Teal Blvd
Beaverton, OR 97007
Phone (503) 579-2020

Organizations & group practices 1

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1447247440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14667 SW TEAL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076194",
            "telephone_number": "503-579-2020",
            "fax_number": "503-579-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14667 SW TEAL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076194",
            "telephone_number": "503-579-2020",
            "fax_number": "503-579-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS-LUCE",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OR",
            "license": "2236T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.