Organization Active NPI

Klamath Ophthalmology PC

Doing business as Downtown Optical

  • Optometrist
  • Klamath Falls, OR
National Provider Identifier
1902041676
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2975ATI Issued in OR
Legal business name
KLAMATH OPHTHALMOLOGY PC
Doing business as
Downtown Optical
Practice address
629 Main St
Klamath Falls, OR 97601-6007
Phone
(541) 884-8322
Fax
(541) 884-7121
NPI assigned
Dec 10, 2008
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KLAMATH OPHTHALMOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Mrs. Tracy Hudson
Title
Office Manager
Phone
(541) 884-3148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2975ATI OR Primary

Addresses

Primary practice location

629 Main St
Klamath Falls, OR 97601-6007

Mailing address

629 Main St
Klamath Falls, OR 97601-6007
Phone (541) 884-8322

Other identifiers 2

IdentifierTypeStateIssuer
272364MedicaidOR
CK5472OtherORRAILROAD MEDICARE

Other names 1

  • Downtown Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426000217 OR Part B Supplier - Clinic/Group Practice 4284620006 Receives reassigned benefits from 10 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Klamath Falls, OR; Lakeview, OR

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Klamath Ophthalmology P

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1902041676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016007",
            "telephone_number": "541-884-8322",
            "fax_number": "541-884-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016007",
            "telephone_number": "541-884-8322",
            "fax_number": "541-884-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH OPHTHALMOLOGY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLAMATH OPHTHALMOLOGY",
        "enumeration_date": "2008-12-10",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-884-3148",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2975ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272364",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5472",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.