Individual provider Active NPI

Joanna Carter, O.D.

  • Optometrist
  • Phoenix, OR
National Provider Identifier
1477618833
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3135 Issued in OR
Practice address
205 N Phoenix Rd Ste 320
Phoenix, OR 97535-9107
Phone
(541) 664-5535
NPI assigned
Dec 26, 2006
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3135 OR Primary
Corneal and Contact Management Optometrist 152WC0802X 3135 OR
Pediatric Optometrist 152WP0200X 3135 OR
Vision Therapy Optometrist 152WV0400X 3135 OR

Addresses

Primary practice location

205 N Phoenix Rd Ste 320
Phoenix, OR 97535-9107

Mailing address

205 N Phoenix Rd Ste 320
Phoenix, OR 97535-9107
Phone (541) 779-2525

Other names 1

  • Dr. Joanna Plavin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 20, 2023 through Apr 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3135ORMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Therapy Optometrist Current Accepting new patients
Central Point Eyecare, P.C. Optometrist CurrentSince Sep 1, 2001 Accepting new patients
Taylor Optometry, PC Optometrist Past Accepting new patients

Locations

650 E Pine St
Ste 105
Central Point, OR 97502
Phone (541) 664-5535

814 E Jackson St
Ste A
Medford, OR 97504
Phone (541) 622-2426

Organizations & group practices 3

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1477618833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N PHOENIX RD STE 320",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "975359107",
            "telephone_number": "541-779-2525",
            "fax_number": "541-779-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N PHOENIX RD STE 320",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "975359107",
            "telephone_number": "541-664-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3135",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OR",
            "license": "3135",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "3135",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "3135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "PLAVIN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, OR

Sources for this page

Verify at the official NPI Registry.