Individual provider Active NPI

Lindsey Broida Kuehl Slinger, O.D.

  • Optometrist
  • Bend, OR
National Provider Identifier
1619329562
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4286AT Issued in OR
Practice address
452 NE Greenwood Ave
Bend, OR 97701-4645
Phone
(541) 382-5701
NPI assigned
Jul 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4286AT OR Primary

Addresses

Primary practice location

452 NE Greenwood Ave
Bend, OR 97701-4645

Mailing address

452 NE Greenwood Ave
Bend, OR 97701-4645
Phone (541) 382-5701

Other practice location 1

500 Foothill Dr
Salt Lake City, UT 84148-0001
Phone (208) 859-2467

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
I20170714000820 OR Practitioner - Optometry 3678843208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Eyecare Holdings LLCGroup PAC ID 6507143724, 5 clinicians

Practice addresses (Care Compare)

336 SW Cyber Dr
Suite 100
Bend, OR 97702-1684
Phone (541) 382-5701

Merit-based Incentive Payment System (MIPS)

Final score
82.44 of 100Reported as group
Quality
64.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4286ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Eyecare Holdings, LLC Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Christopher Carmiencke OD PastSince Jun 16, 2008 Accepting new patients

Locations

336 SW Cyber Dr
Ste 100
Bend, OR 97702
Phone (541) 382-5701

452 NE Greenwood Ave
Bend, OR 97701
Phone (541) 382-5701

Interoperability endpoints

  • Direct secure messaging: lindsey.slinger@direct.revolutionehr.com

Organizations & group practices 2

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": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1619329562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014645",
            "telephone_number": "541-382-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014645",
            "telephone_number": "541-382-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Foothill Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841480001",
            "country_code": "US",
            "telephone_number": "208-859-2467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLINGER",
        "first_name": "LINDSEY",
        "middle_name": "BROIDA KUEHL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4286AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.