Individual provider Active NPI

Leslie M Elms, OD

  • Optometrist
  • Baker City, OR
National Provider Identifier
1790778231
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2569AT Issued in OR
Practice address
2150 3Rd St
Baker City, OR 97814-2609
Phone
(541) 523-5858
Fax
(541) 523-7652
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2569AT OR Primary

Addresses

Primary practice location

2150 3Rd St
Baker City, OR 97814-2609

Mailing address

1105 E St
Baker City, OR 97814-1908
Phone (541) 523-1649

Other identifiers 1

IdentifierTypeStateIssuer
082263MedicaidOR

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
I20110222001199 OR Practitioner - Optometry 6305055617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baker Vision Clinic IncGroup PAC ID 4880682012, 3 clinicians

Practice addresses (Care Compare)

2150 3Rd St
Baker City, OR 97814-2609
Phone (541) 523-5858

Hospital & facility affiliations

  • St. Alphonsus Medical Center - Baker City Hospital, Baker City, OR, CCN 381315

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2569ORMDClinical Psychologist
2569ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Vision Clinic, Inc. Optometrist CurrentSince Aug 20, 1996 Accepting new patients

Locations

2150 3rd St
Baker City, OR 97814
Phone (541) 523-5858

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790778231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141908",
            "telephone_number": "541-523-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 3RD ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142609",
            "telephone_number": "541-523-5858",
            "fax_number": "541-523-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMS",
        "first_name": "LESLIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2569AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082263",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.