Organization Active NPI

Group Eyecare Center, LLC

  • Optometrist
  • Medford, OR
National Provider Identifier
1275787491
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1247ATI Issued in OR
Legal business name
GROUP EYECARE CENTER, LLC
Practice address
1430 E McAndrews Rd
Medford, OR 97504-6108
Phone
(541) 772-7273
Fax
(541) 772-4981
NPI assigned
Nov 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Dr. George Lam
Title
Doctor/Business Owner
Phone
(541) 772-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1247ATI OR Primary

Addresses

Primary practice location

1430 E McAndrews Rd
Medford, OR 97504-6108

Mailing address

1430 E McAndrews Rd
Medford, OR 97504-6108
Phone (541) 772-7273

Other names 1

  • Group Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

1430 E McAndrews Rd
Medford, OR 97504
Phone (541) 482-2441

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1275787491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 E MCANDREWS RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046108",
            "telephone_number": "541-772-7273",
            "fax_number": "541-772-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E MCANDREWS RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046108",
            "telephone_number": "541-772-7273",
            "fax_number": "541-772-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP EYECARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DOCTOR/BUSINESS OWNER",
        "authorized_official_telephone_number": "541-772-7273",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1247ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Group Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.