Matthew Crawford Richardson

Primary specialty

OptometristTaxonomy code 152W00000X

License

4676 Issued in OR

Practice address

970 NW Eastman Pkwy
Gresham, OR 97030-5533

Phone

(503) 666-7460

NPI assigned

Jun 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Eye Group, PC

  • Optometrist
  • Bend, OR
  • NPI 1831656925

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1346924347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 SE SUNNYSIDE RD APT 16",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155331",
            "telephone_number": "360-500-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 NW EASTMAN PKWY",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305533",
            "telephone_number": "503-666-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MATTHEW",
        "middle_name": "CRAWFORD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Rice
• Mary Rice, RDH
• Lori Janeen Rich, THW000003028
• Richard S Polin PC
• Joshua Richardson, MT
• Nexus Nishae Richardson
• Ah-Mirah Denise Lucille Richmond, M.A.
• Erik Manuel Richmond, DMD
• Kirsten Richter, LMT
• Laurie Anne Ricken, B.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.