High Desert Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

2601AT Issued in OR

Legal business name

HIGH DESERT EYECARE

Doing business as

High Desert Vision Source

Practice address

443 SW Evergreen Ave
Redmond, OR 97756-2817

Phone

(541) 923-2221

Fax

(541) 923-3776

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Alishia Dawn Holland, CPOA, CPOC, VSR

Title

Credentialing Specialist

Phone

(541) 923-2221

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• High Desert Vision Source Doing business as

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kilah Shea Atkinson, O.D.

  • Optometrist
  • Redmond, OR
  • NPI 1497057459
  Medicare reassignment Care Compare group NPD
• Audrey H Brumley, OD

  • Optometrist
  • Redmond, OR
  • NPI 1457790248
  Medicare reassignment Care Compare group NPD
• Karisa M Cervantes, OD

  • Optometrist
  • Redmond, OR
  • NPI 1275225302
  Medicare reassignment Care Compare group NPD
• Gretchen Irene Chadwick, OD

  • Optometrist
  • Redmond, OR
  • NPI 1811940778
  Medicare reassignment Care Compare group NPD
• Danielle Lancelot Doelling, OTR/L

  • Occupational Therapist
  • Redmond, OR
  • NPI 1205377538
  NPD (past)
• Jessica Brooke Tegen, OD

  • Optometrist
  • Madras, OR
  • NPI 1982802112
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1801973110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560206",
            "telephone_number": "541-923-2221",
            "fax_number": "541-923-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SW EVERGREEN AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562817",
            "telephone_number": "541-923-2221",
            "fax_number": "541-923-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "ALISHIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "541-923-2221",
        "authorized_official_credential": "CPOA, CPOC, VSR"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2601AT",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297153",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244121",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236083",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213242",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Vision Source",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Desert Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doris J Hethcote, NP
• Jami Elizabeth Heyting, ND
• Hicks Dental Clinics LLC
• Denise Gayle Hicks, DDS
• Max W Higbee, D.M.D.
• High Desert Spine
• High Desert Women's Care
• Highland Park Pharmacy LLC (Redmond Pharmacy and Compounding Center)
• Alan C Hilles, MD
• Jacqueline Hinds

• Optometrist in Redmond, OR
• Providers in Redmond, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.