Active NPI
Justin Etzel, MD
- Ophthalmology Physician
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD208110
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500807814 | Medicaid | OR |
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
Enrollment records 1
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
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 100
- Quality
- 98.4
- Improvement activities
- 40
- Cost
- 77.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 97 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD208110 | OR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Retina, LLP | Ophthalmology | Current | Accepting new patients |
| Sterling Vision, PC | Multi-Specialty | Current | 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
- jetzel@orretina.intellechartdirect.net
- 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.
-
- Ophthalmology Physician
- Gold Beach, OR
- NPI 1750703575
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
- Esthetics NW Services LLC (ENW Repigmentation Services)
- Christopher Travis Estrada, QMHA 1, PSS
- Chad Tyler Estrella, QMHA-R, CADC-R
- Thomas J Etges, M.D.
- Ethos Behavioral Health & Consulting, LLC
- Eugene Behavioral Health LLC.
- Eugene Center for Acupuncture
- Eugene Center for Anxiety and Stress, LLC
- Eugene Chiropractic Center LLC
- Eugene Counseling & Coaching LLC (Catherine R Jonas, MSW, LCSW)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.