Philip Y Paden Eye Care Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

13653 Issued in OR

Legal business name

PHILIP Y PADEN EYE CARE OPTICAL

Doing business as

PADEN EYE CARE OPTICAL

Practice address

221 W Stewart Ave
Ste 110
Medford, OR 97501-3647

Phone

(541) 776-9026

Fax

(541) 776-9096

NPI assigned

May 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Virginia M Brooks

Title

Systems Administrator

Phone

(541) 494-5322

Specialties & licenses 1

Addresses

Other names 1

• PADEN EYE CARE OPTICAL Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1043213143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W STEWART AVE",
            "address_2": "STE 110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013647",
            "telephone_number": "541-776-9026",
            "fax_number": "541-776-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W STEWART AVE",
            "address_2": "STE 110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013647",
            "telephone_number": "541-776-9026",
            "fax_number": "541-776-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP Y PADEN EYE CARE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SYSTEMS ADMINISTRATOR",
        "authorized_official_telephone_number": "541-494-5322",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OR",
            "license": "13653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PADEN EYE CARE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda S Phegley-Payne, NP
• Patrick Joseph Phelan, M.D.
• Mark Haislip Phelps, M.D.
• Susan Kathleen Phelps
• Philip Paden Eye Care Center M D
• Peggy Philips
• Cameron James Phillips, MD
• Elijah Phillips, PA-C
• Jeremy C Phillips, CRM
• Julie Ann Phillips, MD

• Eyewear Supplier in Medford, OR
• Providers in Medford, OR by specialty
• Eyewear Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.