Individual provider Active NPI

Ayda Porkar Rezaeieh, OD

  • Optometrist
  • Eugene, OR
National Provider Identifier
1780437871
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4722 Issued in OR
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

Updated by the provider on May 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

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
I20240809003500 OR Practitioner - Optometry 6002354941 Reassigns benefits to 1 organization

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
Sterling Vision PCGroup PAC ID 3173773694, 9 clinicians

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

LicenseStateTypeSpecialty
ATI4722ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Retina, LLP CurrentSince Jul 1, 2024 Accepting new patients
Sterling Vision, PC Optometrist CurrentSince Jul 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.