Individual provider Active NPI

Joseph Thomas Mando, MD

  • Ophthalmology Physician
  • Eugene, OR
National Provider Identifier
1477997591
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD212048 Issued in OR
Practice address
360 S Garden Way Ste 250
Eugene, OR 97401-8175
Phone
(541) 343-5000
NPI assigned
Apr 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 51523 KY
Ophthalmology Physician 207W00000X R3264 KY
Ophthalmology Physician 207W00000X 35.133827 OH
Ophthalmology Physician 207W00000X R2663 TX
Ophthalmology Physician 207W00000X TP588 KY
Ophthalmology Physician 207W00000X MD212048 OR Primary

Addresses

Primary practice location

360 S Garden Way Ste 250
Eugene, OR 97401-8175

Mailing address

360 S Garden Way Ste 250
Eugene, OR 97401-8175
Phone (541) 343-5000

Other practice location 1

8211 Cornell Rd Ste 510
Cincinnati, OH 45249-2277
Phone (513) 791-5999

Other practice location 2

8760 Union Centre Blvd
West Chester, OH 45069-4876
Phone (513) 454-0544

Other practice location 3

6779 Colerain Ave
Cincinnati, OH 45239-5541
Phone (513) 741-1313

Other practice location 4

4452 Eastgate Blvd Ste 305
Cincinnati, OH 45245-1584
Phone (513) 752-5700

Other practice location 5

7510 US Route 42
Florence, KY 41042-1908
Phone (859) 525-6215

Other practice location 6

2865 Chancellor Dr Ste 215
Crestview Hills, KY 41017-3931
Phone (859) 341-4525

Other practice location 7

5323 Harry Hines Blvd
Dallas, TX 75390-0001
Phone (214) 645-2020

Other practice location 8

2135 Dana Ave Ste 310
Cincinnati, OH 45207-1327
Phone (513) 221-7788

Other practice location 9

7730 Montgomery Rd Ste 120
Cincinnati, OH 45236-4284
Phone (513) 791-5999

Other practice location 10

500 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 341-4525

Other identifiers 8

IdentifierTypeStateIssuer
0283968MedicaidOH
7100371840MedicaidKY
K242731OtherKYMEDICARE
H588291OtherOHMEDICARE OH
H588290OtherOHMEDICARE
K242730OtherKYMEDICARE
H588292OtherOHMEDICARE OH
K242732OtherKYMEDICARE KY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118000089 OR Practitioner - Ophthalmology 5193031995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Clear Vision Institute PCGroup PAC ID 9931192515, 6 clinicians

Practice addresses (Care Compare)

1125 Darlene LN
Suite 201
Eugene, OR 97401-1601
Phone (541) 683-5488

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as group
Quality
90.85
Improvement activities
40
Cost
80.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51523KYMDOphthalmology Physician
R3264KYMDOphthalmology Physician
MD212048ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clear Vision Institute, PC Ophthalmology CurrentSince Nov 15, 2022 Accepting new patients

Locations

257 N 8th St
Cottage Grove, OR 97424
Phone (503) 942-0181

1125 Darlene Ln
Ste 100
Eugene, OR 97401
Phone (541) 687-2441

360 S Garden Way
Ste 250
Eugene, OR 97401
Phone (541) 726-1465

1125 Darlene Ln
Ste 201
Eugene, OR 97401
Phone (541) 342-1845

535 9th St
Florence, OR 97439
Phone (503) 997-3331

371 NE Garden Valley Blvd
Roseburg, OR 97470
Phone (541) 673-4166

Interoperability endpoints

  • Direct secure messaging: jmando@pcvi.direct.eyemdemr.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1477997591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 250",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018175",
            "telephone_number": "541-343-5000"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 250",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018175",
            "telephone_number": "541-343-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8211 Cornell Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452492277",
            "country_code": "US",
            "telephone_number": "513-791-5999",
            "fax_number": "513-791-4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8760 Union Centre Blvd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450694876",
            "country_code": "US",
            "telephone_number": "513-454-0544",
            "fax_number": "513-454-0551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6779 Colerain Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452395541",
            "country_code": "US",
            "telephone_number": "513-741-1313",
            "fax_number": "513-385-3995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4452 Eastgate Blvd Ste 305",
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            "state": "OH",
            "postal_code": "452451584",
            "country_code": "US",
            "telephone_number": "513-752-5700",
            "fax_number": "513-752-5716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7510 US Route 42",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421908",
            "country_code": "US",
            "telephone_number": "859-525-6215",
            "fax_number": "859-525-6144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 Chancellor Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410173931",
            "country_code": "US",
            "telephone_number": "859-341-4525",
            "fax_number": "859-341-4993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753900001",
            "country_code": "US",
            "telephone_number": "214-645-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2135 Dana Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452071327",
            "country_code": "US",
            "telephone_number": "513-221-7788",
            "fax_number": "513-487-5223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7730 Montgomery Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452364284",
            "country_code": "US",
            "telephone_number": "513-791-5999",
            "fax_number": "513-791-4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Thomas More Pkwy",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "41017",
            "country_code": "US",
            "telephone_number": "859-341-4525",
            "fax_number": "859-341-4993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDO",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "51523",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "R3264",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.133827",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R2663",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "TP588",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD212048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283968",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100371840",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K242731",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OH",
            "identifier": "H588291",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H588290",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K242730",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OH",
            "identifier": "H588292",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE KY",
            "identifier": "K242732",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.