Individual provider Active NPI

Leah Reznick, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Portland, OR
National Provider Identifier
1922043611
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
MD27708 Issued in OR
Practice address
3375 SW Terwilliger Blvd
Mailcode: Cei
Portland, OR 97239-4146
Phone
(503) 494-3000
Fax
(503) 494-4286
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00048164 WA
Ophthalmology Physician 207W00000X MD27708 OR
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X MD00048164 WA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X MD27708 OR Primary

Addresses

Primary practice location

3375 SW Terwilliger Blvd
Mailcode: Cei
Portland, OR 97239-4146

Mailing address

3375 SW Terwilliger Blvd
Mailcode: Cei
Portland, OR 97239-4146
Phone (503) 494-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070913000809 OR Practitioner - Ophthalmology 8729082326 Reassigns benefits to 1 organization
I20090403000283 WA Practitioner - Ophthalmology 8729082326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, shared by 3 NPIs, 1,683 clinicians

Practice addresses (Care Compare)

15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442

312 SE Stonemill Dr
Suite 150
Vancouver, WA 98684-3547
Phone (360) 254-2323

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27708ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services Ophthalmology Current Accepting new patients
University Professional Services CurrentSince Apr 1, 2010 Accepting new patients
University Professional Services CurrentSince Apr 1, 2010 Accepting new patients
University Professional Services Ophthalmology CurrentSince Apr 1, 2010 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

1040 NW 22nd Ave
Ste 200
Portland, OR 97210
Phone (503) 413-6223

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3375 SW Terwilliger Blvd
Portland, OR 97239
Phone (503) 226-3916

312 SE Stonemill Dr
Ste 150
Vancouver, WA 98684
Phone (360) 254-2323

Interoperability endpoints

  • Direct secure messaging: lreznickmd18150@direct.ohsu.edu

Organizations & group practices 4

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1922043611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 SW TERWILLIGER BLVD",
            "address_2": "MAILCODE: CEI",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394146",
            "telephone_number": "503-494-3000",
            "fax_number": "503-494-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 SW TERWILLIGER BLVD",
            "address_2": "MAILCODE: CEI",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394146",
            "telephone_number": "503-494-3000",
            "fax_number": "503-494-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNICK",
        "first_name": "LEAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00048164",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD27708",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "WA",
            "license": "MD00048164",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OR",
            "license": "MD27708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.