Individual provider Active NPI

Lindsey Rosencrans, OD

  • Optometrist
  • Portland, OR
National Provider Identifier
1801317649
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4322ATI Issued in OR
Practice address
3978 N Williams Ave
Portland, OR 97227-1445
Phone
(503) 493-7070
NPI assigned
Jul 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4322ATI OR Primary

Addresses

Primary practice location

3978 N Williams Ave
Portland, OR 97227-1445

Mailing address

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Other practice location 1

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone (800) 949-1004

Other practice location 2

226 E Historic Columbia River Hwy
Troutdale, OR 97060-2069
Phone (503) 492-3897

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
I20170818000020 OR Practitioner - Optometry 2163794686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Studio PCGroup PAC ID 7911193966, 2 clinicians

Practice addresses (Care Compare)

339 NW 9TH Ave
Portland, OR 97209-3306
Phone (503) 219-0023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4322ATIORMDOptometrist
4322ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Studio, PC Optometrist CurrentSince May 18, 2022 Accepting new patients

Locations

339 NW 9th Ave
Portland, OR 97209
Phone (503) 219-0023

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.

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1801317649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3978 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271445",
            "telephone_number": "503-493-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3710 SW US Veterans Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972392964",
            "country_code": "US",
            "telephone_number": "800-949-1004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 E Historic Columbia River Hwy",
            "address_purpose": "LOCATION",
            "city": "Troutdale",
            "state": "OR",
            "postal_code": "970602069",
            "country_code": "US",
            "telephone_number": "503-492-3897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENCRANS",
        "first_name": "LINDSEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-01",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4322ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.