Individual provider Active NPI

Leah Moran, OD

  • Optometrist
  • Portland, OR
National Provider Identifier
1750278024
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AT-4782 Issued in OR
Practice address
2021 NE Alberta St
Portland, OR 97211-5847
Phone
(503) 384-2489
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 AT-4782 OR Primary

Addresses

Primary practice location

2021 NE Alberta St
Portland, OR 97211-5847

Mailing address

2021 NE Alberta St
Portland, OR 97211-5847

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
I20250725003106 OR Practitioner - Optometry 0941717821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alberta Eye CareGroup PAC ID 1355575127, 7 clinicians

Practice addresses (Care Compare)

2021 NE Alberta St
Portland, OR 97211-5847
Phone (503) 384-2489

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT-4782ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alberta Eye Care Optometrist CurrentSince Jul 7, 2025 Accepting new patients

Locations

2021 NE Alberta St
Portland, OR 97211
Phone (503) 384-2489

8787 N Lombard St
Portland, OR 97203
Phone (503) 406-6761

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": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1750278024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 NE ALBERTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 NE ALBERTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115847",
            "telephone_number": "503-384-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "LEAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "AT-4782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.