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DR. ANALICIA NICOLE CZUPRYK O.D.
NPI 1710248638
Optometrist in Tigard, OR

Active since June 06, 2012PECOS Enrolled
9730 SW WASHINGTON SQUARE RD, TIGARD, OR 97223(503) 624-0666(503) 624-0959 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Analicia Nicole Czupryk O.d. NPPES

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

DR. ANALICIA NICOLE CZUPRYK O.D. (NPI 1710248638) is an individual optometrist in Tigard, Oregon, licensed in Oregon (3445ATI) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710248638
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANALICIA NICOLE CZUPRYKCredential: O.D.
Location Address9730 SW WASHINGTON SQUARE RDTigard, OR 97223-4453
Mailing Address7591 Sw Pine StPortland, OR 97223-8715 · (503) 701-2557
Phone(503) 624-0666
Fax(503) 624-0959
Sole ProprietorNo
Enumeration DateJune 6, 2012
Last NPPES UpdateMarch 24, 2014
✔ NPI 1710248638 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 · 3445ATI
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.
9730 SW WASHINGTON SQUARE RD, Tigard, OR 97223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Analicia Nicole Czupryk O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Analicia Czupryk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heritage Eyecare
58 mi
Optometrist
2169 14TH AVE SE
Albany, OR 97322
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1760894356 (541) 926-2061

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 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 9

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

DR. DALE EUGENE OGATA O.D.
Optometrist
9730 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Washington County (503) 624-0666
ANNA NGUYEN BRADSTREET OD
Optometrist
9730 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Washington County (503) 624-0666
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
9730 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Washington County (503) 620-4850
DR. CARLA AVRUSKIN O.D.
Optometrist
9730 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Washington County (503) 624-0666
MEGHAN L MALENSKY O.D.
Optometrist
9730 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Washington County (503) 624-0666
DANIEL E OGATA O.D.
Optometrist
9730 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Washington County (503) 624-0666
SHAUNA CHRISTINE HARBISON O.D.
Optometrist
9730 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Washington County (503) 624-0666
OGATA EYECARE, PC
Optometrist
9730 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Washington County (503) 624-0666

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 Analicia Czupryk's NPI number?

The NPI number for Analicia Czupryk is 1710248638. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Analicia Czupryk located?

Analicia Czupryk practices at 9730 SW Washington Square Rd, Tigard, OR 97223. The listed phone number is (503) 624-0666.

What is Analicia Czupryk's specialty?

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

Is Analicia Czupryk enrolled in Medicare?

Yes. Analicia Czupryk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Analicia Czupryk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Analicia Czupryk reassigns Medicare benefits to Heritage Eyecare (Albany, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Analicia Czupryk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Analicia Czupryk accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Analicia Czupryk 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 Analicia Czupryk was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.