Individual provider Active NPI

Kaylee Hass, OD

  • Optometrist
  • Eugene, OR
National Provider Identifier
1689457103
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1689457103 Issued in OR
Practice address
1471 Pearl St
Eugene, OR 97401-4009
Phone
(541) 686-1237
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1689457103 OR Primary

Addresses

Primary practice location

1471 Pearl St
Eugene, OR 97401-4009

Mailing address

10545 SW Windsor PL
Portland, OR 97223-4272
Phone (541) 525-3179

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
I20240723002645 OR Practitioner - Optometry 2365988664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Center, IncGroup PAC ID 9931197969, 4 clinicians

Practice addresses (Care Compare)

1471 Pearl St
Eugene, OR 97401-4009
Phone (541) 686-1237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4731ORMDGeneral Practice Dentistry
1689457103ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Center, Inc Optometrist CurrentSince Jul 9, 2024 Accepting new patients

Locations

1471 Pearl St
Eugene, OR 97401
Phone (541) 686-1237

Organizations & group practices 1

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1689457103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 SW WINDSOR PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234272",
            "telephone_number": "541-525-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014009",
            "telephone_number": "541-686-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASS",
        "first_name": "KAYLEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1689457103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.