Columbian Eyecare,Llc

LBN: Columbian Eyecare, Llc
Columbian Eyecare,Llc is an health care organization with primary practice located at 1175 Royal Avenue Suite A , Medford OR 97504-6122. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Columbian Eyecare, Llc can be contacted via phone (541) 772-9990, or through Ripper, Richard W via phone (541) 772-9990.

Contact Information

Primary practice address
1175 Royal Avenue Suite A Medford OR 97504-6122
Phone: (541) 772-9990
Fax: (541) 772-5003
Website:
Map and Directions
Authorized official contact:
Name: Ripper, Richard W Doctor of Optometry (OD)
Phone: (541) 772-9990

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1247ATI Oregon

Profile Details

NPI number 1083625735
LBN Legal business name Columbian Eyecare, Llc
DBA Doing business as Columbian Eyecare,Llc
Authorized official Ripper, Richard W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083625735 NPPES
Oregon MEDICAID 276214

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