Individual provider Active NPI

Richard Wayne Ehlen, O.D.

  • Optometrist
  • Eugene, OR
National Provider Identifier
1740255082
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2414AT Issued in OR
Practice address
2540 Willakenzie Rd
Eugene, OR 97401-4805
Phone
(541) 484-9999
Fax
(541) 484-0616
NPI assigned
Feb 21, 2006
Last updated
Mar 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2414AT OR Primary

Addresses

Primary practice location

2540 Willakenzie Rd
Eugene, OR 97401-4805

Mailing address

3063 Vintner LN
Eugene, OR 97404-3848
Phone (541) 484-9999

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
I20050920000194 OR Practitioner - Optometry 9537193610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainbow Optics, PCGroup PAC ID 6406843598, 7 clinicians

Practice addresses (Care Compare)

2540 Willakenzie Rd
Eugene, OR 97401-4805
Phone (541) 484-9999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2414ORMDClinical Social Worker
2414ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Optics, PC Optometrist CurrentSince Jan 1, 1992 Accepting new patients
Rainbow Optics, PC Optometrist CurrentSince Jan 1, 1992 Accepting new patients

Locations

1740 W 18th Ave
Eugene, OR 97402
Phone (541) 343-5555

2540 Willakenzie Rd
Eugene, OR 97401
Phone (541) 484-9999

2675 Willamette St
Eugene, OR 97405
Phone (541) 343-3333

762 E 13th Ave
Eugene, OR 97401
Phone (541) 343-3333

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1740255082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 VINTNER LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043848",
            "telephone_number": "541-484-9999",
            "fax_number": "541-484-0616"
        },
        {
            "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": {
        "last_name": "EHLEN",
        "first_name": "RICHARD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2414AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.