1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Optometrist
  6. NPI Profile

LORI SHIN OD
NPI 1457900102
Optometrist in Portland, OR

Active since September 05, 2019PECOS EnrolledAccepts Medicare Assignment
2480 NE FREMONT ST, PORTLAND, OR 97212(503) 284-3937 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2022, Jun 7, 2022, Sep 5, 2019 (3 updates tracked since 2019).

About Lori Shin Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI SHIN OD (NPI 1457900102) is an individual optometrist in Portland, Oregon, licensed in Oregon (4620) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of New England College Of Optometry (2019).

NPPES Registry Identity

NPI1457900102
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLORI SHINCredential: OD
Location Address2480 NE FREMONT STPortland, OR 97212-2509
Mailing Address1430 Nw Hoyt St Apt 927Portland, OR 97209-2286 · (301) 328-6494
Phone(503) 284-3937
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2019
Enumeration DateSeptember 5, 2019
Last NPPES UpdateJuly 6, 20223 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1457900102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OR · 4620
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2480 NE FREMONT ST, Portland, OR 97212
Open in Google Maps ↗

Secondary Practice Location 1

Location 1920 NW 23rd AvePortland, OR 97210-3006 · Phone (503) 889-9020

Other Identifiers 1

Medicaid500805683OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Shin Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416344122
PECOS Enrollment IDI20220427003095
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PDX EYE AND VISION CARE LLC
Optometrist
2480 NE FREMONT ST
PORTLAND, OR 97212
Multnomah County (503) 284-3937
DR. ARMANDO JERRY ZELADA OD
Optometrist
2480 NE FREMONT ST
PORTLAND, OR 97212
Multnomah County (503) 284-3937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Shin's NPI number?

The NPI number for Lori Shin is 1457900102. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Lori Shin located?

Lori Shin practices at 2480 NE Fremont St, Portland, OR 97212. The listed phone number is (503) 284-3937.

What is Lori Shin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lori Shin enrolled in Medicare?

Yes. Lori Shin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lori Shin accept?

Health plans from Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lori Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lori Shin was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.