Ida Alul, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD23027 Issued in OR

Practice address

2450 NE Mary Rose PL
Suite 110
Bend, OR 97701-7132

Phone

(541) 318-8388

Fax

(541) 318-7145

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

University of Missouri, Kansas City, School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infocus Eye Care LLCGroup PAC ID 2365436755, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Infocus Eye Care LLC

  dba Infocus Eye Care Center

  • Ophthalmology Physician
  • Bend, OR
  • NPI 1134208846
  Medicare reassignment Care Compare group
• Bend Ophthalmology

  • Specialist
  • Bend, OR
  • NPI 1053523068

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1770797060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PL",
            "address_2": "SUITE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017132",
            "telephone_number": "541-318-8388",
            "fax_number": "541-318-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PL",
            "address_2": "SUITE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017132",
            "telephone_number": "541-318-8388",
            "fax_number": "541-318-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALUL",
        "first_name": "IDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD23027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287214",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alpine Physical Therapy and Wellness Center Inc (Alpine Physical Therapy)
• Alpine Wellness LLC
• Eric Noland Alston, DMD
• Cynthia Ann Altamirano, RPH
• Adriana Altvatter
• Felipe Santacruz Alvarado
• Patricia Ann Alvarez-Simmons, LMT
• Always Wellness LLC
• Amberena L Fairlee DMD LLC (Cascadia Family Dental)
• Debra Marie Amberson, REGISTERED NURSE

• Ophthalmology Physician in Bend, OR
• Providers in Bend, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.