MEDICAL EYE CENTER OPTICAL INC (NPI# 1982879292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982879292 |
| Entity Type | Organization |
| Organization Name | MEDICAL EYE CENTER OPTICAL INC |
| Other Organization Name | MEDFORD FAMILY OPTICAL |
| Practice Address |
815 E Main St Medford OR 97504-7133 |
| Mailing Address |
2727 E Barnett Rd Medford OR 97504-8331 |
| Practice Telephone | 5417796395 |
| Practice Fax Number | 5416089477 |
| Mailing Telephone | 5417794711 |
| Mailing Fax Number | 5416181485 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | KEITH CASEBOLT (CEO) |
| Authorized Official Telephone | 5417794711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Medford Family Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629242938 | Medical Eye Center Optical Inc | Eyewear Supplier (Equipment, not the service) | 881 Ne 7th St, Grants Pass, OR 97526-1634 | 2008-04-17 |
| 1366510034 | Medical Eye Center Optical Inc | Eyewear Supplier (Equipment, not the service) | 1333 E Barnett Rd, Medford, OR 97504-8219 | 2006-12-01 |
| Street Address |
815 E MAIN ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528052271 | John G Apostol | Ophthalmology | 815 E Main St, Medford, OR 97504-7133 | 2005-09-08 |
| 1447232434 | Medford Family Optical | Eyewear Supplier (Equipment, not the service) | 815 E Main St, Medford, OR 97504-7133 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629287032 | South Jersey Eye Physicians Pa | Eyewear Supplier (Equipment, not the service) | 103 Old Marlton Pike Ste 216, Medford, NJ 08055-8772 | 2007-05-22 |
| 1316091341 | Usv Optical Inc.. | Eyewear Supplier (Equipment, not the service) | 909 The Fellsway, Medford, MA 02155-4151 | 2007-01-23 |
| 1841356151 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 501 Medford Ctr, Medford S/c, Medford, OR 97504-6004 | 2006-12-29 |
| 1922183557 | Budd Optical | Eyewear Supplier (Equipment, not the service) | 175 Route 70 Ste 23, Medford, NJ 08055-2355 | 2006-10-25 |
| 1720170756 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1600 North Riverside Avenue, Medford, OR 97501 | 2006-09-28 |
| 1508804550 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2006-06-03 |
| 1093321747 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 278 Middlesex Ave, Medford, MA 02155-5066 | 2020-09-18 |
| 1649678616 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1740 Delta Waters Rd, Suite 100, Medford, OR 97504-9175 | 2014-12-08 |
| 1396955001 | Jason M. Gilbert Mdpc | Eyewear Supplier (Equipment, not the service) | 101 Main Street, Suite 208, Medford, MA 02155 | 2007-05-23 |
| 1588724520 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4110 Mystic Valley Pkwy, Medford, MA 02155-6931 | 2006-12-11 |
| Find all providers in MEDFORD | ||||
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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.