Riverside Vision Care
LBN: Cloyd Family Vision Llc
Riverside Vision Care is an health care organization with primary practice located at 709 S Riverside Ave , Medford OR 97501-7837. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Cloyd Family Vision Llc can be contacted via phone (541) 776-3718, or through Cloyd, Frances G via phone (541) 776-3718.
Contact Information
Primary practice address
709 S Riverside Ave
Medford OR 97501-7837
Phone: (541) 776-3718
Fax: (541) 776-5928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1754ATI | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1982ATI | Oregon |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1336142140 |
|---|---|
| LBN Legal business name | Cloyd Family Vision Llc |
| DBA Doing business as | Riverside Vision Care |
| Authorized official | Cloyd, Frances G Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Feb 14th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336142140 | NPPES |
| Oregon | MEDICAID | 080064 | |
| Oregon | Other | 002453 | |
| Oregon | Other | O5189 | |
| Oregon | Other | 4003592 |
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