OHSU Casey Eye Institute Hood River Optical Shop – Eyewear Supplier, NPI 1154667103

OHSU Casey Eye Institute Hood River Optical Shop is a healthcare provider. based in Portland, Oregon. specializing in Eyewear Supplier. The NPI Number for OHSU Casey Eye Institute Hood River Optical Shop is 1154667103

Main info

Organization
Name
OHSU Casey Eye Institute Hood River Optical Shop
NPI
1154667103
Phone
(503) 494-3000
Address
3375 SW TERWILLIGER BLVD
Authorized Official
DR. DANNY O JACOBS PRESIDENT MD
Enumeration Date
19 December 2012
Last Update Date
28 March 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for OHSU Casey Eye Institute Hood River Optical Shop

  • 3375 SW TERWILLIGER BLVD

    ATTN: E. COTTLE - CREC HOOD RIVER

    PORTLAND, OR 972394146

    Phone: (503) 494-3000

    Fax: (503) 494-0470

    Type: Mailing

  • 1410 MAY ST

    HOOD RIVER, OR 970311347

    Phone: (541) 386-1399

    Fax: (541) 386-7067

    Type: Location

  • 1400 SW 5TH AVE STE 500

    PORTLAND, OR 972015537

    Phone: (503) 494-8417

    Fax: (503) 494-4455

    Type: Mailing

  • 1619 WOODS CT

    HOOD RIVER, OR 970312915

    Phone: (541) 386-1399

    Fax: (541) 386-7067

    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: 2013-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (225 days ago).

Enrollment records

1

Earliest due date

2025-10-31

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
O20130228000465OOpticianOR2025-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 97239)

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Reviews

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Frequently asked questions

Can I verify OHSU Casey Eye Institute Hood River Optical Shop with an NPI only?
You can start verification with NPI 1154667103 for OHSU Casey Eye Institute Hood River Optical Shop, then check state licensing separately.
Does CMS list OHSU Casey Eye Institute Hood River Optical Shop as active?
Yes — OHSU Casey Eye Institute Hood River Optical Shop is active in the NPI listing used on this page.
What is OHSU Casey Eye Institute Hood River Optical Shop's specialty?
The listing groups OHSU Casey Eye Institute Hood River Optical Shop with Eyewear Supplier. Clinical services aligned with this taxonomy classification.
What address line appears for OHSU Casey Eye Institute Hood River Optical Shop?
OHSU Casey Eye Institute Hood River Optical Shop's geographic hint is Portland, Oregon in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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