Cloyd Family Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1754ATI Issued in OR

Legal business name

CLOYD FAMILY VISION LLC

Doing business as

Riverside Vision Care

Practice address

709 S Riverside Ave
Medford, OR 97501-7837

Phone

(541) 776-3718

Fax

(541) 776-5928

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Frances G Cloyd, O.D.

Title

Member

Phone

(541) 776-3718

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Riverside Vision Care Doing business as

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1336142140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S RIVERSIDE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017837",
            "telephone_number": "541-776-3718",
            "fax_number": "541-776-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S RIVERSIDE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017837",
            "telephone_number": "541-776-3718",
            "fax_number": "541-776-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOYD FAMILY VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "CLOYD",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-776-3718",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1754ATI",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1982ATI",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080064",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OR",
            "identifier": "002453",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE HEALTH PLA",
            "identifier": "O5189",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO OREGON",
            "identifier": "4003592",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinic for Dermatology & Wellness LLC
• Ally Jo Clodfelter
• Alisa Kay Cloud, LMT
• James Christopher Cloud, M.S., QMHP, CADC I
• Jim Cloward, PT
• Frances G Cloyd, O.D.
• Abby Lee Coats, P.A.
• Christopher Cobb, BSN, RN
• Carla Ann Cochran, NP-C, FNP, AGACNP-BC
• Patrick Theodore Code, DPM

• 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 Feb 14, 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.