Individual provider Active NPI

Tomas Augusto Lopez, MD

  • Retina Specialist (Ophthalmology) Physician
  • Albany, OR
National Provider Identifier
1679830772
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD1841 Issued in OR
Practice address
2715 Willetta St SW Ste B
Albany, OR 97321-3471
Phone
(541) 926-5848
NPI assigned
Apr 13, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A131188 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X MD1841 OR Primary

Addresses

Primary practice location

2715 Willetta St SW Ste B
Albany, OR 97321-3471

Mailing address

2715 Willetta St SW Ste B
Albany, OR 97321-3471
Phone (541) 926-5848

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807003338 OR Practitioner - Ophthalmology 9739474727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

2400 NW Century Dr
Corvallis, OR 97330-3568
Phone (541) 752-4622

2715 Willetta St SW
Suite B
Albany, OR 97321-3471
Phone (541) 926-5848

2715 Willetta St SW B
Albany, OR 97321-3471

Merit-based Incentive Payment System (MIPS)

Final score
80.37 of 100Reported as group
Quality
68.21
Improvement activities
40
Cost
76.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131188CAMDMarriage & Family Therapist
A131188CAMDOphthalmology Physician
MD1841ORMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates PC Ophthalmology CurrentSince Aug 7, 2017 Accepting new patients
Bridgeport Eye Physicians, LLC Ophthalmology CurrentSince May 11, 2019 Accepting new patients

Locations

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

2400 NW Century Dr
Corvallis, OR 97330
Phone (541) 752-4622

2930 NE West Devils Lake Rd
Ste 2
Lincoln City, OR 97367
Phone (541) 217-0054

20015 SW Pacific Hwy
Ste 150
Sherwood, OR 97140
Phone (503) 610-1025

Interoperability endpoints

  • Direct secure messaging: tomas.lopez.p1@direct.eca.nextgenshare.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, 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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679830772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213471",
            "telephone_number": "541-926-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213471",
            "telephone_number": "541-926-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "TOMAS",
        "middle_name": "AUGUSTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A131188",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OR",
            "license": "MD1841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.