Lori Shin, OD in Portland, OR - Medicare Optometrist Provider

Lori Shin, OD is a medicare enrolled "Optometrist" provider in Portland, Oregon. Her current practice location is 2480 Ne Fremont St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 284-3937.

Lori Shin is licensed to practice in Oregon (license number 4620) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457900102.

Contact Information

	Lori Shin, OD
	2480 Ne Fremont St, Portland, OR 97212-2509
	(503) 284-3937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lori Shin
Gender	Female
Speciality	Optometrist
Location	2480 Ne Fremont St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457900102
Provider Enumeration Date: 09/05/2019
Last Update Date: 07/06/2022

Medicare PECOS Information:

PECOS PAC ID: 7416344122
Enrollment ID: I20220427003095

Medical Identifiers

Medical identifiers for Lori Shin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457900102	NPI	-	NPPES
500805683	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4620 (Oregon)	Primary

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. Lori Shin allows following entities to bill medicare on her behalf.

Provider Name	Pdx Eye And Vision Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326594987 PECOS PAC ID: 5092093625 Enrollment ID: O20161101002187

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. Lori Shin 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
Lori Shin, OD 1430 Nw Hoyt St Apt 927, Portland, OR 97209-2286 Ph: (301) 328-6494	Lori Shin, OD 2480 Ne Fremont St, Portland, OR 97212-2509 Ph: (503) 284-3937

Reviews and Comments

Optometrist in Portland, OR

Mrs. Ayla Jade Himmelsbach, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7826 Sw Capitol Hwy, Portland, OR 97219 Phone: 503-224-7788
Eyedentity Vision Center P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2609 Se Clinton St, Portland, OR 97202 Phone: 503-238-1139 Fax: 503-235-6574
On Sight Optical, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4542 Ne Martin Luther King Jr Blvd, Portland, OR 97211 Phone: 503-228-2154 Fax: 503-228-4694
Dr. Larry E Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Ste 106, Portland, OR 97266 Phone: 503-653-1442
Dr. Kim M Clark & Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12000 Se 82nd Avenue, #2012, Portland, OR 97266 Phone: 503-652-6001 Fax: 503-652-6012
Dr. Laura Mae Armstrong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2021 Ne Alberta St, Portland, OR 97211 Phone: 503-384-2489 Fax: 503-379-9488
Dr. Hayden Minh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8315 Se Stark St, Portland, OR 97216 Phone: 503-282-3070 Fax: 503-287-3482

Lori Shin, OD - Medicare Optometrist in Portland, OR