Individual provider Active NPI

Toni Mae Decker, O.D.

  • Optometrist
  • Bend, OR
National Provider Identifier
1932299526
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3193ATI Issued in OR
Practice address
20120 Pinebrook Blvd
Bend, OR 97702-2537
Phone
(541) 389-2658
NPI assigned
Oct 13, 2006
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 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 3193ATI OR Primary

Addresses

Primary practice location

20120 Pinebrook Blvd
Bend, OR 97702-2537

Mailing address

20120 Pinebrook Blvd
Bend, OR 97702-2537
Phone (541) 389-2658

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
I20071231000367 OR Practitioner - Optometry 4981784139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Oregon Eyecare PCGroup PAC ID 8426945783, 6 clinicians

Practice addresses (Care Compare)

1000 SW Indian Ave
Redmond, OR 97756-3039
Phone (541) 548-2488

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3193ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes in Motion Optometrist PastSince Nov 24, 2009 Accepting new patients
Central Oregon Eyecare, PC Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tdecker7554@centraloregoneyecare.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1932299526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20120 PINEBROOK BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022537",
            "telephone_number": "541-389-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20120 PINEBROOK BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022537",
            "telephone_number": "541-389-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "TONI",
        "middle_name": "MAE",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3193ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.