Jamison Riley Soupir, OD in Forest Grove, OR - Medicare Optometry Provider

Jamison Riley Soupir, OD is a medicare enrolled "Optometrist" provider in Forest Grove, Oregon. He went to Southern College Of Optometry and graduated in 2017 and has 7 years of diverse experience with area of expertise as Optometry. He is a member of the group practice La Grande Family Eye Care and his current practice location is 2043 College Way, Forest Grove, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 352-3197.

Jamison Riley Soupir is licensed to practice in Oregon (license number 4328AT) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952826513.

Contact Information

	Jamison Riley Soupir, OD
	2043 College Way, Forest Grove, OR 97116-1756
	(503) 352-3197
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jamison Riley Soupir
Gender	Male
Speciality	Optometry
Experience	7 Years
Location	2043 College Way, Forest Grove, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jamison Riley Soupir attended and graduated from Southern College Of Optometry in 2017

NPI Data:

NPI Number: 1952826513
Provider Enumeration Date: 08/04/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8325311574
Enrollment ID: I20170909000026

Medical Identifiers

Medical identifiers for Jamison Riley Soupir such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952826513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4328AT (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Grande Family Eye Care	7012069016	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jamison Riley Soupir allows following entities to bill medicare on his behalf.

Provider Name	La Grande Family Eye Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376773960 PECOS PAC ID: 7012069016 Enrollment ID: O20090722000757

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamison Riley Soupir is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jamison Riley Soupir, OD 2043 College Way, Forest Grove, OR 97116-1756 Ph: (503) 352-3197	Jamison Riley Soupir, OD 2043 College Way, Forest Grove, OR 97116-1756 Ph: (503) 352-3197

Reviews and Comments

Optometrist in Forest Grove, OR

Shannon Seymour, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2202
Dr. Kelvin Kiu Wing So, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-880-1381
Dr. Beth Toshiko Kinoshita, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-3140 Fax: 503-352-2929
Dr. Shannon Cathleen Lutz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2208
Jing Huang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Pacific University Optometry College, Forest Grove, OR 97116 Phone: 925-698-7120
Timothy Allen Speck, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2144 Hawthorne St, Apt 56, Forest Grove, OR 97116 Phone: 217-416-9452
Dr. Matthew J Lampa, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2208 Fax: 503-352-2261

Jamison Riley Soupir, OD - Medicare Optometrist in Forest Grove, OR