Individual provider Active NPI

Justin Etzel, MD

  • Ophthalmology Physician
  • Eugene, OR
National Provider Identifier
1588168488
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD208110 Issued in OR
Practice address
1011 Valley River Way Ste 110
Eugene, OR 97401-2127
Phone
(541) 762-2763
NPI assigned
Mar 23, 2018
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD208110 OR Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD208110 OR

Addresses

Primary practice location

1011 Valley River Way Ste 110
Eugene, OR 97401-2127

Mailing address

1011 Valley River Way Ste 108
Eugene, OR 97401-2184
Phone (541) 249-9309

Other identifiers 1

IdentifierTypeStateIssuer
500807814MedicaidOR

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
I20220718001862 OR Practitioner - Ophthalmology 0547519407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pennsylvania State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Vision PCGroup PAC ID 3173773694, 9 clinicians

Practice addresses (Care Compare)

5709 Main St
Springfield, OR 97478-5426
Phone (541) 762-2763

Merit-based Incentive Payment System (MIPS)

Final score
92.54 of 100Reported as group
Quality
98.4
Improvement activities
40
Cost
77.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD208110ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Retina, LLP Ophthalmology CurrentSince Jul 5, 2022 Accepting new patients
Sterling Vision, PC Multi-Specialty CurrentSince Jul 5, 2022 Accepting new patients
Oregon Retina, LLC Multi-Specialty Past Accepting new patients

Locations

1011 Valley River Way
Ste 110
Eugene, OR 97401
Phone (541) 342-2201

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

1594 Edgewater St NW
Ste 190
Salem, OR 97304
Phone (503) 779-2119

5709 Main St
Springfield, OR 97478
Phone (541) 988-3337

Interoperability endpoints

  • Direct secure messaging: jetzel@orretina.intellechartdirect.net
  • Direct secure messaging: jetzel@yourcarecommunity.org

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1588168488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 VALLEY RIVER WAY STE 108",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012184",
            "telephone_number": "541-249-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 VALLEY RIVER WAY STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012127",
            "telephone_number": "541-762-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETZEL",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD208110",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OR",
            "license": "MD208110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500807814",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.