Dr Keiji Jay Shiyomura, OD in Bend, OR - Medicare Optometry Provider

Dr Keiji Jay Shiyomura, OD is a medicare enrolled "Optometrist" provider in Bend, Oregon. He went to Pacific University - College Of Optometry and graduated in 2021 and has 3 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Central Oregon Eyecare Pc and his current practice location is 61535 S Highway 97 Ste 16, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 389-4774.

Dr Keiji Jay Shiyomura is licensed to practice in Oregon (license number ATI4607) 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 1609527613.

Contact Information

	Dr Keiji Jay Shiyomura, OD
	61535 S Highway 97 Ste 16, Bend, OR 97702-2156
	(541) 389-4774
	(541) 389-3971

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keiji Jay Shiyomura
Gender	Male
Speciality	Optometry
Experience	3 Years
Location	61535 S Highway 97 Ste 16, Bend, 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:

Dr Keiji Jay Shiyomura attended and graduated from Pacific University - College Of Optometry in 2021

NPI Data:

NPI Number: 1609527613
Provider Enumeration Date: 01/11/2022
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6709271943
Enrollment ID: I20220324002054

Medical Identifiers

Medical identifiers for Dr Keiji Jay Shiyomura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609527613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WV0400X	Optometrist - Vision Therapy	ATI4607 (Oregon)	Secondary
152W00000X	Optometrist	ATI4607 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Oregon Eyecare Pc	8426945783	5

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. Dr Keiji Jay Shiyomura allows following entities to bill medicare on his behalf.

Provider Name	Central Oregon Eyecare Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073715157 PECOS PAC ID: 8426945783 Enrollment ID: O20040302000211

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. Dr Keiji Jay Shiyomura 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
Dr Keiji Jay Shiyomura, OD 61535 S Highway 97 Ste 16, Bend, OR 97702-2156 Ph: (541) 389-4774	Dr Keiji Jay Shiyomura, OD 61535 S Highway 97 Ste 16, Bend, OR 97702-2156 Ph: (541) 389-4774

Reviews and Comments

Optometrist in Bend, OR

Elena Talea, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1470 Sw Knoll Ave Ste 102, Bend, OR 97702 Phone: 541-797-0295
Eyes In Motion Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20120 Pinebrook Blvd, Bend, OR 97702 Phone: 541-389-2508 Fax: 541-389-2973
Mrs. Elizabeth A Potvin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701 Phone: 541-318-8388
Dr. Joseph J Kvortek, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3044 N Highway 97, Bend, OR 97701 Phone: 541-388-5716 Fax: 541-617-7898
Christopher Carmiencke, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 452 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-382-5701 Fax: 541-382-5702
Dr. Eric Hinds, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 63455 N Highway 97 Ste 75, Bend, OR 97703 Phone: 541-389-5207
Erin Follen Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 62968 O B Riley Rd Ste 11, Bend, OR 97703 Phone: 541-382-2020 Fax: 541-382-5004

Dr Keiji Jay Shiyomura, OD - Medicare Optometrist in Bend, OR