CATARACT AND LASER INSTITUTE OF SOUTHERN OREGON PC
NPI 1609913219
Ophthalmology in Medford, OR

Q: What is Cataract And Laser Institute Of Southern Oregon PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since January 31, 2007CLIA 38D2054038 · Waiver

1408 E. BARNETT RD, MEDFORD, OR 97504(541) 779-2020(541) 770-6838 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2023, Sep 18, 2020, Mar 4, 2020 and 1 more (4 updates tracked since 2018).

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About Cataract And Laser Institute Of Southern Oregon Pc NPPES

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

CATARACT AND LASER INSTITUTE OF SOUTHERN OREGON PC (NPI 1609913219) is a healthcare organization registered as an ophthalmology in Medford, Oregon and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Janice Dawn Boucher, Business Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1609913219

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameCATARACT AND LASER INSTITUTE OF SOUTHERN OREGON PC

Location Address1408 E. BARNETT RDMedford, OR 97504

Mailing Address1408 E Barnett RdMedford, OR 97504-8279 · (541) 779-2020 · Fax (541) 770-6838

Phone(541) 779-2020

Fax(541) 770-6838

Organization SubpartNo

Authorized OfficialJanice Dawn BoucherBusiness Clinic Manager · (541) 779-2020

Enumeration DateJanuary 31, 2007

Last NPPES UpdateFebruary 2, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1609913219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OR · 14-00033080

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1408 E. BARNETT RD, Medford, OR 97504

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2054038

Cataract And Laser Institute Of Southern Oregon, PC · Medford, OR

Active · expires Feb 11, 2027

CLIA Number38D2054038

Laboratory TypePhysician Office

Certificate Effective DateFebruary 12, 2025

Certificate Expiration DateFebruary 11, 2027

Laboratory DirectorTina Rutar

Laboratory Phone(541) 779-2020

Laboratory LocationCataract And Laser Institute Of Southern Oregon, PC1408 E Barnett Rd, Medford, OR 97504

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Cataract & Laser Institute Of So Or carries, from the Medicare DMEPOS supplier directory.

Cataract & Laser Institute Of So Or

DMEPOS supplier · Medford, OROperated by Cataract And Laser Institute Of Southern Oregon PC

✔

Accepts Medicare assignment

Cataract & Laser Institute Of So Or agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20642669

Medicare Participant SinceJanuary 1, 1998

Supplier Location1408 E Barnett RdMedford, OR 97504

Phone(541) 779-2020

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Cataract And Laser Institute Of Southern Oregon PC's NPI number?

The NPI number for Cataract And Laser Institute Of Southern Oregon PC is 1609913219. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Cataract And Laser Institute Of Southern Oregon PC located?

Cataract And Laser Institute Of Southern Oregon PC is located at 1408 E. Barnett Rd, Medford, OR 97504. The listed phone number is (541) 779-2020.

What is Cataract And Laser Institute Of Southern Oregon PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Cataract And Laser Institute Of Southern Oregon PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Cataract & Laser Institute Of So Or accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Cataract And Laser Institute Of Southern Oregon PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2054038) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cataract And Laser Institute Of Southern Oregon PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Cataract And Laser Institute Of Southern Oregon PC 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 Cataract And Laser Institute Of Southern Oregon PC was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.