Daran Michael Decalesta, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2772AT Issued in OR

Practice address

762 E 13TH Ave
Eugene, OR 97401-3778

Phone

(541) 343-3333

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainbow Optics, PCGroup PAC ID 6406843598, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@rainbowopticseugeneor.compulinkdirect.com

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.

• Rainbow Optics, PC

  • Optometrist
  • Eugene, OR
  • NPI 1992870604
  Medicare reassignment Care Compare group Authorized official
• Rainbow Optics, PC

  • Optometrist
  • Eugene, OR
  • NPI 1003995044
  NPD Authorized official
• Rainbow Optics, PC

  • Optometrist
  • Eugene, OR
  • NPI 1649345356
  NPD (past) Authorized official

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1962481341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 E 13TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013778",
            "telephone_number": "541-343-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 E 13TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013778",
            "telephone_number": "541-343-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECALESTA",
        "first_name": "DARAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2772AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Debell
• Karen Debraal, LAC
• Dirk G Debroekert, PA-C
• Martha Debroekert, RN
• Nicole Deburton
• Pamela Lammers Decalesta, O.D.
• Brett Decker
• Loraine X Decker
• Margaret Decordre
• Christine Leana Decroos

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.