Bradley Lorenzen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2234AT Issued in OR

Practice address

1125 Darlene LN
Suite 100
Eugene, OR 97401-1601

Phone

(541) 343-5000

Fax

(541) 344-9478

NPI assigned

Jul 15, 2006

Last updated

Dec 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1988

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)

Merit-based Incentive Payment System (MIPS)

Final score

90.49 of 100Reported as group

Quality

90.85

Improvement activities

40

Cost

80.51

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

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

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.

• Pacific Clear Vision Institute, PC

  dba Pacific ClearVision Institute

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1699812719
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1639195183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10888",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974402888",
            "telephone_number": "541-343-5000",
            "fax_number": "541-344-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 DARLENE LN",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011601",
            "telephone_number": "541-343-5000",
            "fax_number": "541-344-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZEN",
        "first_name": "BRADLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2234AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023536",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE/SECURE HORIZON",
            "identifier": "012381-0006",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney A Lopez, ATC, LAT
• Wendy Lopez
• Emily Lorang
• Lauren Lord, PMHNP-BC
• Wendy Loren, LMT
• Gail Ann Loreth, PTA
• Lori B Allen, PH.D.
• William Ray Losie, O.D.
• Madison Lostra, PT
• Elijah John Strong Lotz, PH.D.

• Optometrist in Eugene, OR
• Providers in Eugene, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.

Verify at the official NPI Registry.