DR. AYDA PORKAR REZAEIEH (OD) – Optometrist, NPI 1780437871

DR. AYDA PORKAR REZAEIEH (OD) is a healthcare provider. based in Eugene, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. ATI4722 (OR). The NPI Number for DR. AYDA PORKAR REZAEIEH (OD) is 1780437871

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. AYDA PORKAR REZAEIEH (OD)
NPI
1780437871
Phone
(541) 342-2201
Address
1011 VALLEY RIVER WAY STE 110
Enumeration Date
9 April 2024
Last Update Date
31 May 2025

Doctor Profile

Medical School Name
BEAUMONT HOSPITAL MEDIAL COLLEGE - NLG
Secondary Phone
5417622763
Graduation Year
2016 (10 years ago)
PAC ID
6002354941
Group Practice PAC ID
3173773694
Professional Enrollment ID
I20240809003500
Address ID
OR974012127EU1011XWAYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for DR. AYDA PORKAR REZAEIEH (OD)

  • 1011 VALLEY RIVER WAY STE 110

    EUGENE, OR 974012127

    Phone: (541) 342-2201

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2024-08-09

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
I20240809003500IOptometryORTBD

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 97401)

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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: 3173773694View full group profile
NameSpecialtyState
Physician AssistantOR
O P H T H A L M O L O G YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P H T H A L M O L O G YMD
O P T O M E T R YOR
-OR
-OR
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

Where can patients find DR. AYDA PORKAR REZAEIEH (OD)'s NPI?
You can confirm DR. AYDA PORKAR REZAEIEH (OD) with NPI 1780437871; it appears in the national provider directory.
Is DR. AYDA PORKAR REZAEIEH (OD)'s NPI currently valid?
The extract we use shows DR. AYDA PORKAR REZAEIEH (OD) as active.
What kind of provider is DR. AYDA PORKAR REZAEIEH (OD)?
The page reflects Optometrist for DR. AYDA PORKAR REZAEIEH (OD). Clinical services aligned with this taxonomy classification.
Where is DR. AYDA PORKAR REZAEIEH (OD)'s primary listing?
We display Eugene, Oregon because that is what the record indicates for DR. AYDA PORKAR REZAEIEH (OD).
Is DR. AYDA PORKAR REZAEIEH (OD) a real provider?
This page reflects official NPPES data for NPI 1780437871. Always confirm identity and privileges with the practice and licensing boards.

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