Rainbow Optics, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RAINBOW OPTICS, PC

Practice address

2540 Willakenzie Rd
Eugene, OR 97401-4805

Phone

(541) 484-9999

Fax

(541) 484-0616

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daran M Decalesta, O.D.NPI 1962481341

Title

President

Phone

(541) 343-3333

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Rainbow Optics, PC

  • Optometrist
  • Eugene, OR
  • NPI 1003995044

  6406843598

  Same PAC ID
• Rainbow Optics, PC

  • Optometrist
  • Eugene, OR
  • NPI 1992870604

  6406843598

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rainbow Optics, PC

  • Optometrist
  • Eugene, OR
  • NPI 1003995044

  O20040429000911

  Same enrollment
• Rainbow Optics, PC

  • Optometrist
  • Eugene, OR
  • NPI 1992870604

  O20040429000911

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daran Michael Decalesta, O.D.

  • Optometrist
  • Eugene, OR
  • NPI 1962481341
  NPD (past) Authorized official
• Erik Gustavson, OD

  • Optometrist
  • Eugene, OR
  • NPI 1053137505
  NPD
• Timothy Joseph Lieberenz, OD

  • Optometrist
  • White City, OR
  • NPI 1205613783
  NPD
• Joseph Louis Luiso III, OD

  • Optometrist
  • Eugene, OR
  • NPI 1629716709
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1649345356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023625",
            "telephone_number": "541-343-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WILLAKENZIE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014805",
            "telephone_number": "541-484-9999",
            "fax_number": "541-484-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW OPTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "DECALESTA",
        "authorized_official_first_name": "DARAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-343-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHELDON GROUP",
            "identifier": "R0000WFBSK",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Donald Rahier
• Jasper Raia
• Laura Railand, D.M.D.
• Camille Claire Rain, DO
• Rainbow Optics, PC
• Rainbow Optics, PC
• Brittiny Amber Raine
• Abigail Raines
• Siera Annelyse Raines
• Laura Rains, LCSW

• 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 Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.