Individual provider Active NPI

Cynthia Suzanne Strawn, O.D.

  • Optometrist
  • Keizer, OR
National Provider Identifier
1821074493
Registry record updated Jul 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OR2791ATI Issued in OR
Practice address
4350 Cherry Ave NE
Keizer, OR 97303-4855
Phone
(503) 393-6060
Fax
(503) 393-5096
NPI assigned
Dec 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OR2791ATI OR Primary

Addresses

Primary practice location

4350 Cherry Ave NE
Keizer, OR 97303-4855

Mailing address

4350 Cherry Ave NE
Keizer, OR 97303-4855
Phone (503) 393-6060

Other identifiers 1

IdentifierTypeStateIssuer
230529MedicaidOR

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
I20050822001416 OR Practitioner - Optometry 9234160003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Keizer Vision Source PCGroup PAC ID 0244261014, 2 clinicians

Practice addresses (Care Compare)

4350 Cherry Ave NE
Keizer, OR 97303-4855
Phone (503) 393-6060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OR2791ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Keizer Vision Source PC Optometrist CurrentSince Jul 1, 2000 Accepting new patients
Scott L. Nehring, O.D., P.C. Optometrist PastSince Jan 1, 2005 Accepting new patients

Locations

4350 Cherry Ave NE
Keizer, OR 97303
Phone (503) 393-6060

Interoperability endpoints

  • Direct secure messaging: strawn@keizervision.eyeclinicdirect.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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342310400000",
    "number": "1821074493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 CHERRY AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034855",
            "telephone_number": "503-393-6060",
            "fax_number": "503-393-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 CHERRY AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034855",
            "telephone_number": "503-393-6060",
            "fax_number": "503-393-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAWN",
        "first_name": "CYNTHIA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2012-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "OR2791ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230529",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.