Active NPI
Ayda Porkar Rezaeieh, OD
- Optometrist
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ATI4722
- Practice address
- 1011 Valley River Way Ste 110
Eugene, OR 97401-2127 - Phone
- (541) 342-2201
- Fax
- (541) 229-8463
- NPI assigned
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ATI4722 | OR | Primary |
Addresses
Primary practice location
1011 Valley River Way Ste 110
Eugene, OR 97401-2127
Mailing address
1011 Valley River Way Ste 110
Eugene, OR 97401-2127
Phone (541) 342-2201
Other names 1
- Dr. Ayda Porkar
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Beaumont Hospital Medial College - NLG, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 Valley River Way
Suite 110
Eugene, OR 97401-2127
Phone (541) 762-2763
535 9TH St
Florence, OR 97439-7388
Phone (541) 762-2763
5709 Main St
Springfield, OR 97478-5426
Phone (541) 762-2763
707 Greenwood St
Junction City, OR 97448-1627
Phone (541) 762-2763
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATI4722 | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Retina, LLP | Current | Accepting new patients | |
| Sterling Vision, PC | Optometrist | Current | Accepting new patients |
Locations
1011 Valley River Way
Ste 110
Eugene, OR 97401
Phone (541) 249-9309
535 9th St
Florence, OR 97439
Phone (503) 997-3331
707 Greenwood St
Junction City, OR 97448
Phone (541) 687-1715
1594 Edgewater St NW
Ste 190
Salem, OR 97304
Phone (503) 779-2119
5709 Main St
Springfield, OR 97478
Phone (541) 988-3337
Interoperability endpoints
- aporkar@orretina.intellechartdirect.net
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Gold Beach, OR
- NPI 1750703575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748649600000",
"number": "1780437871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 VALLEY RIVER WAY STE 110",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012127",
"telephone_number": "541-342-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 VALLEY RIVER WAY STE 110",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012127",
"telephone_number": "541-342-2201",
"fax_number": "541-229-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORKAR REZAEIEH",
"first_name": "AYDA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2025-05-31",
"certification_date": "2025-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OR",
"license": "ATI4722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AYDA",
"last_name": "PORKAR",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.