Columbian Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1247ATI Issued in OR

Legal business name

COLUMBIAN EYECARE, LLC

Doing business as

Columbian Eyecare,LLC

Practice address

1175 Royal Avenue Suite a
Medford, OR 97504-6122

Phone

(541) 772-9990

Fax

(541) 772-5003

NPI assigned

Aug 10, 2006

Last updated

Sep 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard W Ripper, O.D.

Title

Owner

Phone

(541) 772-9990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Columbian Eyecare,LLC Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1083625735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 ROYAL AVENUE SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046122",
            "telephone_number": "541-772-9990",
            "fax_number": "541-772-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 ROYAL AVENUE SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046122",
            "telephone_number": "541-772-9990",
            "fax_number": "541-772-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIAN EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "RIPPER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-772-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1247ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276214",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbian Eyecare,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Columbiacare Services
• Columbiacare Services Inc
• Columbiacare Services Inc (Orchard Home)
• Columbiacare Services Inc
• Columbiacare Services Inc (Central Clinic)
• Seth Combs
• Veronika Maureen Comerchero, P.T.A.
• Comfort Zone Boutique, LLC (Comfort Zone Boutique)
• Community Works Inc
• Community Works, Inc.

• Optometrist in Medford, OR
• Providers in Medford, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.