Eye Care Group of Southern Oregon LLC
A Medicare group practice based in Cave Junction, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4082629290), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4082629290
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- OR
- Enrollments
- 3
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060209000139 | OR | Part B Supplier - Clinic/Group Practice | 1306988787 |
| O20100930046634 | OR | DME Supplier - Physician - Optometrist | 1386786309 |
| O20100930099134 | OR | DME Supplier - Physician - Optometrist | 1306988787 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Eye Care Group of Southern Oregon, LLC
dba Eye Care Group
- Optometrist
- Grants Pass, OR
- NPI 1306988787
-
Eye Care Group of Southern Oregon, LLC
dba Eye Care Group
- Optometrist
- Cave Junction, OR
- NPI 1386786309
Practice locations
- Grants Pass, OR2
- Cave Junction, OR2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (3).
-
James Franklin Adamek, OD
- Optometrist
- Eagle Point, OR
- NPI 1568660199
-
Jason K Bates, OD
- Optometrist
- Ashland, OR
- NPI 1407891401
-
Angela Marie Dedionisio, O.D.
- Optometrist
- Medford, OR
- NPI 1417339359
-
Kiana Marie Lambert, OD
- Optometrist
- Grants Pass, OR
- NPI 1124864095
-
Maisha Langella, O.D.
- Optometrist
- Grants Pass, OR
- NPI 1104116532
-
Jeffrey Scott Pelson, O.D.
- Optometrist
- Grants Pass, OR
- NPI 1578567244
-
Daniel Joseph Vidlak, O.D.
- Optometrist
- Grants Pass, OR
- NPI 1477648772
-
Scott M. Walters, O.D.
- Optometrist
- Grants Pass, OR
- NPI 1649381906
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.