Individual provider Active NPI

Jill Scheiffele, O.D.

  • Low Vision Rehabilitation Optometrist
  • Portland, OR
National Provider Identifier
1669500278
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
3117AT Issued in OR
Practice address
1111 NE 102ND Ave
Portland, OR 97220-3902
Phone
(503) 255-7782
Fax
(503) 255-7787
NPI assigned
Mar 2, 2007
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 3117AT OR Primary

Addresses

Primary practice location

1111 NE 102ND Ave
Portland, OR 97220-3902

Mailing address

1111 NE 102ND Ave
Portland, OR 97220-3902
Phone (503) 255-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moreland Family Eye Care PCGroup PAC ID 5496089898, 2 clinicians

Practice addresses (Care Compare)

6539 SE Milwaukie Ave
Portland, OR 97202-5519
Phone (503) 236-6008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moreland Family Eye Care PC CurrentSince May 2, 2026 Accepting new patients
Spectrios Institute for Low Vision Low Vision Rehabilitation PastSince Jul 1, 2015 Accepting new patients
Scott J Wojciechowski OD PastSince May 2, 2026 Accepting new patients

Locations

6539 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 236-6008

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1669500278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203902",
            "telephone_number": "503-255-7782",
            "fax_number": "503-255-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203902",
            "telephone_number": "503-255-7782",
            "fax_number": "503-255-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIFFELE",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OR",
            "license": "3117AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.