DR. MATTHEW SCOT RICHARDSON (NPI# 1033211230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033211230 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SCOT RICHARDSON |
| Credential | O.D. |
| Practice Address |
937 Chetco Ave Brookings OR 97415 |
| Mailing Address |
1251 E Mcandrews Rd Ste 100 Medford OR 97504-6497 |
| Practice Telephone | 5414696923 |
| Practice Fax Number | 5414696769 |
| Mailing Telephone | 5417791392 |
| Mailing Fax Number | 5417796531 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2017-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2980ATI | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DEA NUMBER | MR1176329 | 01 |
| OR | 276057 | 05 | |
| OR | STATE LICENSE | 2980ATI | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295253573 | Matthew Henry Richardson | Counselor | 303 International Cir Ste T125, Hunt Valley, MD 21030-1391 | 2017-09-06 |
| 1023314986 | Matthew L Richardson | Chiropractor | 4400 Linglestown Rd 108, Harrisburg, PA 17112-8534 | 2011-02-09 |
| 1043528425 | Matthew Doil Richardson | Pharmacist | 12222 E. Sprague Ave., Spokane, WA 99206 | 2010-09-20 |
| 1467479972 | Matthew E. Richardson | Dentist | 1336 Creston Park Dr, Janesville, WI 53545-1119 | 2006-07-17 |
| 1609384056 | Matthew Richardson | Nurse Anesthetist, Certified Registered | 7010 Champions Plaza Dr Ste 400, Houston, TX 77069-2395 | 2018-01-19 |
| 1275051088 | Matthew Wade Richardson | Speech-Language Pathologist | 3205 Jenny Lind Rd, Fort Smith, AR 72901-7101 | 2017-08-31 |
| 1043748882 | Matthew Thomas Richardson | Counselor | 340 Maple St Ste 400, Marlborough, MA 01752-3200 | 2017-05-24 |
| 1851784821 | Matthew W Richardson | Community Health Worker | 928 12th St, Greeley, CO 80631-4024 | 2015-03-13 |
| 1508284563 | Matthew A. Richardson | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Mail Stop #259pa4, Burlington, VT 05401-1473 | 2014-04-06 |
| 1831435601 | Matthew Richardson | Pharmacist | 611 N Saint Joseph Ave, Marshfield, WI 54449-1832 | 2012-12-21 |
| Street Address |
937 CHETCO AVE |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912010596 | Eye Center of Brookings, LLC | Optometrist | 937 Chetco Ave, Brookings, OR 97415 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730548975 | Wyatt Nash-keller Od Prof LLC | Optometrist | 960 22nd Ave S, Brookings, SD 57006-2830 | 2016-02-16 |
| 1811008493 | Ronald Dustin Bodman | Optometrist | 586 5th St, Suite 300, Brookings, OR 97415-9720 | 2006-08-31 |
| 1699887158 | Wayne Robert Paulson | Optometrist | 586 5th St Ste 300, Brookings, OR 97415-9720 | 2006-08-31 |
| 1912010596 | Eye Center of Brookings, LLC | Optometrist | 937 Chetco Ave, Brookings, OR 97415 | 2006-08-16 |
| 1174556344 | Clayton Paul Twitero | Optometrist | 2425 6th St, Brookings, SD 57006-1733 | 2006-07-09 |
| 1982673927 | Kristin J Gurholt | Optometrist | 937k Chetco Ave 4005, Brookings, OR 97415 | 2006-03-14 |
| 1922095306 | Kristine Gyving | Optometrist | 325 5th St, Brookings, OR 97415-9658 | 2005-09-30 |
| 1609861608 | Jason Jahn | Optometrist | 1208 22nd Ave S, Brookings, SD 57006-2804 | 2005-09-15 |
| 1902806375 | Douglas John Walker | Optometrist | 937 Chetco Ave Ste K 4005, Brookings, OR 97415 | 2005-07-28 |
| 1447818562 | Taylor Allen Kneip | Optometrist | 2311 Yorkshire Dr, Brookings, SD 57006-2446 | 2019-06-04 |
| Find all providers in BROOKINGS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.