RETINA & VITREOUS CENTER OF SOUTHERN OREGON, PC (NPI# 1851860621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851860621 |
Entity Type | Organization |
Organization Name | RETINA & VITREOUS CENTER OF SOUTHERN OREGON, PC |
Practice Address |
3516 Excel Dr Medford OR 97504-9750 |
Mailing Address |
246 Catalina Dr Ashland OR 97520-1624 |
Practice Telephone | 5414883192 |
Mailing Telephone | 5414883192 |
Mailing Fax Number | 5414880646 |
Enumeration Date | 2018-11-21 |
Last Update Date | 2018-11-21 |
Authorized Official Name | WILLIAM S RODDEN (PRESIDENT) |
Authorized Official Telephone | 5414883192 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700924594 | Retina & Vitreous Center of Southern Oregon, PC | Ophthalmology | 1019 Ne 7th St, Grants Pass, OR 97526-1449 | 2007-02-02 |
1295725448 | Retina & Vitreous Center of Southern Oregon, PC | Ophthalmology | 246 Catalina Dr, Suite 1, Ashland, OR 97520-1624 | 2005-10-27 |
Street Address |
3516 EXCEL DR |
City | MEDFORD |
State | OR |
Zip Code | 97504-9750 |
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 | 207WX0107X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Retina Specialist |
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093943086 | Joshua Noren Carlson | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2009-06-29 |
1285812123 | Oregon Retina Specialists, LLC | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2008-02-02 |
1427048693 | Yujen Wang | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2005-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477071926 | Nelsi Inc | Ophthalmology | 11786 Sw Barnes Rd Ste 270, Portland, OR 97225-5929 | 2017-09-05 |
1093722258 | Brandon Lujan | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2006-08-01 |
1265485890 | Andreas K Lauer | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2006-05-17 |
1659375244 | Timothy L Gard | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2005-06-10 |
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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.