Individual provider Active NPI

Lindy A Thomas, O.D.

  • Optometrist
  • Portland, OR
National Provider Identifier
1598815946
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3293AT Issued in OR
Practice address
2300 NE Broadway St
Portland, OR 97232-1611
Phone
(503) 284-2300
Fax
(503) 284-2347
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 350 NV
Optometrist 152W00000X 3293AT OR Primary

Addresses

Primary practice location

2300 NE Broadway St
Portland, OR 97232-1611

Mailing address

2300 NE Broadway St
Portland, OR 97232-1611
Phone (503) 284-2300

Other identifiers 3

IdentifierTypeStateIssuer
CC8156OtherNVBCBS PROVIDER ID
410049319OtherNVRAILROAD MEDICARE
002502046MedicaidNV

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
I20101228000262 OR Practitioner - Optometry 7517959901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoban Vision IncGroup PAC ID 2365877586, 9 clinicians

Practice addresses (Care Compare)

1775 NE Cesar E Chavez Blvd
Portland, OR 97212-5322
Phone (503) 288-6181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3293ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas M. Barreto, O.D., P.C. Optometrist CurrentSince Jul 12, 2013 Accepting new patients
Hoban Vision, Inc. Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Clearvision Eye Center Optometrist Past Accepting new patients

Locations

1775 NE Cesar E Chavez Blvd
Portland, OR 97212
Phone (503) 288-6181

2300 NE Broadway St
Portland, OR 97232
Phone (503) 284-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1598815946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321611",
            "telephone_number": "503-284-2300",
            "fax_number": "503-284-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321611",
            "telephone_number": "503-284-2300",
            "fax_number": "503-284-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LINDY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "350",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3293AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "CC8156",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410049319",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002502046",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.