DR. GERALD R STARCHVICK (NPI# 1972508596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972508596 |
| Entity Type | Individual |
| Full Name | DR. GERALD R STARCHVICK |
| Credential | O.D. |
| Practice Address |
1251 E Mcandrews Rd Suite 100 Medford OR 97504-6497 |
| Mailing Address |
600 Powderhorn Dr Jacksonville OR 97530-9420 |
| Practice Telephone | 5417791392 |
| Practice Fax Number | 5417796531 |
| Mailing Telephone | 5417791392 |
| Mailing Fax Number | 5417796531 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2008-01-10 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1563T | OR | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1563T | OR | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
1563T | OR | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
1563T | OR | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
1563T | OR | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
1563T | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | EYEMED | 212666 | 01 |
| OR | 119268 | 05 |
| Street Address |
1251 E MCANDREWS RD SUITE 100 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134281355 | Starchvick Optical Inc | Optometrist | 1251 E Mcandrews Rd, Suite 100, Medford, OR 97504-6497 | 2006-12-14 |
| 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 | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396933826 | Dr Anthony W Iraca of Medford Inc | Optometrist | 4110 Mystic Valley Parkway, Medford, MA 02155 | 2007-10-10 |
| 1992707491 | Steven I Goodman Od PC | Optometrist | 1643 Route 112 Ste A, Medford, NY 11763-3654 | 2005-08-15 |
| 1134281355 | Starchvick Optical Inc | Optometrist | 1251 E Mcandrews Rd, Suite 100, Medford, OR 97504-6497 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246292 | Gatti Vision LLC | Optometrist | 15405 Sw 116th Ave Ste 204, King City, OR 97224-4101 | 2020-02-05 |
| 1194355123 | Irina Stignei Od PC | Optometrist | 1433 Ne 69th Ave, Portland, OR 97213-5301 | 2020-01-17 |
| 1295158301 | Oizu Optic LLC | Optometrist | 4133 Se Division St, Portland, OR 97202-1646 | 2014-01-24 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1396814091 | Craig E Bowen | Optometrist | 18801 Sw Boones Ferry Rd, Tualatin, OR 97062-8412 | 2006-11-07 |
| 1225125503 | Shauna R. Schissler, Od and Associates, PC | Optometrist | 970 Nw Eastman Pkwy, Gresham, OR 97030-5533 | 2006-10-06 |
| 1992798136 | Donald J Johnson Od PC | Optometrist | 635 Thornton Way, Ashland, OR 97520-4500 | 2005-08-23 |
| 1649764879 | Emily Cheng | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2018-06-20 |
| 1942737473 | Kelly Voltz | Optometrist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2017-05-15 |
| 1659721280 | Brooke Morris Harkness | Optometrist | 15298 Sw Royalty Pkwy, Tigard, OR 97224-3904 | 2016-06-14 |
| Find all providers with the same taxonomy | ||||
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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.