AMRA SOFTIC (OD) – Optometrist, NPI 1407581051

AMRA SOFTIC (OD) is a healthcare provider. based in Lake oswego, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. ATI4646 (OR). The NPI Number for AMRA SOFTIC (OD) is 1407581051

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
AMRA SOFTIC (OD)
NPI
1407581051
Phone
Not provided
Address
200 BURNHAM RD UNIT 104
Enumeration Date
19 July 2022
Last Update Date
19 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
5036859015
Graduation Year
2022 (4 years ago)
PAC ID
3971963174
Group Practice PAC ID
2567453160
Professional Enrollment ID
I20230719004348
Address ID
OR970707719WI8269XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for AMRA SOFTIC (OD)

  • 200 BURNHAM RD UNIT 104

    LAKE OSWEGO, OR 970345076

    Phone:

    Type: Mailing

  • 3710 SW US VETERANS HOSPITAL RD

    PORTLAND, OR 972392964

    Phone: (503) 220-8262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Alcon Vision LLC ($55).

Total Amount

$76

General + Research + Ownership

Payments

4

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-19

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
I20230719004348IOptometryORTBD

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 97034)

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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: 2567453160View full group profile
NameSpecialtyState
O P T O M E T R YOR

Reviews

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Frequently asked questions

Can I verify AMRA SOFTIC (OD) with an NPI only?
You can start verification with NPI 1407581051 for AMRA SOFTIC (OD), then check state licensing separately.
Is AMRA SOFTIC (OD) listed as active for patients and plans?
The listing shows AMRA SOFTIC (OD) as active in the NPI system.
What is AMRA SOFTIC (OD) best known for clinically?
Directory data describes AMRA SOFTIC (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect AMRA SOFTIC (OD) on a map?
Expect Lake Oswego, Oregon as a primary anchor for AMRA SOFTIC (OD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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