ISABELLA LOR (OD) – Optometrist, NPI 1174344451

ISABELLA LOR (OD) is a healthcare provider. based in Keizer, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4751 (OR). The NPI Number for ISABELLA LOR (OD) is 1174344451

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ISABELLA LOR (OD)
NPI
1174344451
Phone
(503) 428-5096
Address
6375 ULALI DR NE
Enumeration Date
21 October 2024
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3029997171
Graduation Year
2024 (2 years ago)
PAC ID
6901385798
Group Practice PAC ID
1052612009
Professional Enrollment ID
I20260211002980
Address ID
DE198085005WI4605XAXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for ISABELLA LOR (OD)

  • 6375 ULALI DR NE

    KEIZER, OR 973031697

    Phone: (503) 428-5096

    Type: Mailing

  • 6375 Ulali Dr NE

    Keizer, OR 973031697

    Phone: (503) 428-5096

    Type: Location

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 4605 KIRKWOOD HWY STE A

    WILMINGTON, DE 198085005

    Phone: (302) 999-7171

    Fax: (302) 283-3709

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260211002980IOptometryDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052612009View full group profile
NameSpecialtyState
-DE
O P T O M E T R YDE
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YVA
O P T O M E T R YDE
O P T O M E T R YVA
-MD
O P T O M E T R YDE
O P T O M E T R YVA

Reviews

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Frequently asked questions

What is ISABELLA LOR (OD)'s NPI number?
ISABELLA LOR (OD)'s NPI is 1174344451 — the number used across U.S. healthcare to identify this provider.
Is ISABELLA LOR (OD) shown as active in public data?
Registry records indicate ISABELLA LOR (OD) maintains an active NPI.
What expertise is attributed to ISABELLA LOR (OD)?
ISABELLA LOR (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ISABELLA LOR (OD)?
Travel planning: use Keizer, Oregon as the reference point for ISABELLA LOR (OD), then confirm.
Does ISABELLA LOR (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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