Rogue Family Eye Care
LBN: Rogue Family Eye Care
Rogue Family Eye Care is an health care organization with primary practice located at 853 Ne A St , Grants Pass OR 97526. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Rogue Family Eye Care can be contacted via phone (541) 218-9966, or through Richardson, Matthew Scot via phone (541) 474-2788.
Contact Information
Primary practice address
853 Ne A St
Grants Pass OR 97526
Phone: (541) 218-9966
Fax:
Website:
Authorized official contact:
Name: Richardson, Matthew Scot Doctor of Optometry (OD)
Phone: (541) 474-2788
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2980ATI | Oregon |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2980ATI | Oregon |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | ||
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2980ATI | Oregon |
Profile Details
| NPI number | 1982181186 |
|---|---|
| LBN Legal business name | Rogue Family Eye Care |
| DBA Doing business as | |
| Authorized official | Richardson, Matthew Scot Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2018 |
| Last updated | Feb 24th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982181186 | NPPES |
| Oregon | Other | 2980ATI | OREGON BOARD OF OPTOMETRY |
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