Individual provider Active NPI

Carrie Nicole Dunks, O.D.

  • Optometrist
  • Eugene, OR
National Provider Identifier
1982989034
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3544ATI Issued in OR
Practice address
1471 Pearl St
Eugene, OR 97401-4009
Phone
(541) 686-1237
NPI assigned
Oct 19, 2011
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3544ATI OR Primary

Addresses

Primary practice location

1471 Pearl St
Eugene, OR 97401-4009

Mailing address

1471 Pearl St
Eugene, OR 97401-4009
Phone (541) 686-1237

Other names 1

  • Ms. Carrie Lysinger Former name

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
I20140918000087 OR Practitioner - Optometry 3173742418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Center, IncGroup PAC ID 9931197969, 4 clinicians

Practice addresses (Care Compare)

1471 Pearl St
Eugene, OR 97401-4009
Phone (541) 686-1237

1471 Pearl St
Eugene, OR 97401-4092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3544ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Center, Inc Optometrist CurrentSince Jul 28, 2014 Accepting new patients

Locations

1471 Pearl St
Eugene, OR 97401
Phone (541) 686-1237

Organizations & group practices 1

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1982989034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014009",
            "telephone_number": "541-686-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014009",
            "telephone_number": "541-686-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKS",
        "first_name": "CARRIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3544ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "LYSINGER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.