Medford Family Optical

LBN: Medford Family Optical
Medford Family Optical is an health care organization with primary practice located at 815 E Main St , Medford OR 97504-7133. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Medford Family Optical can be contacted via phone (541) 773-7420, or through Apostol, John G via phone (541) 773-7420.

Contact Information

Primary practice address
815 E Main St Medford OR 97504-7133
Fax: (541) 779-0787
Website:
Authorized official contact:
Name: Apostol, John G Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1447232434
LBN Legal business name Medford Family Optical
DBA Doing business as
Authorized official Apostol, John G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1447232434 NPPES
Oregon MEDICAID 016910
Oregon Other OR7166

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