Individual provider Active NPI

Shomace Shamis Fallah-Loer, D.O.

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1780947549
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DO222779 Issued in OR
Practice address
6640 SW Redwood LN
Portland, OR 97224-7187
Phone
(503) 620-7358
NPI assigned
Jun 18, 2012
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DO222779 OR Primary

Addresses

Primary practice location

6640 SW Redwood LN
Portland, OR 97224-7187

Mailing address

6640 SW Redwood LN
Portland, OR 97224-7187
Phone (503) 620-7358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 SW 13TH Ave
Portland, OR 97205-1902

Merit-based Incentive Payment System (MIPS)

Final score
92.21 of 100Reported as group
Quality
96.05
Improvement activities
40
Cost
79.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO222779ORMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1780947549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 SW REDWOOD LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247187",
            "telephone_number": "503-620-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 SW REDWOOD LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247187",
            "telephone_number": "503-620-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAH-LOER",
        "first_name": "SHOMACE",
        "middle_name": "SHAMIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "DO222779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.