Eye Care Group of Southern Oregon, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE GROUP OF SOUTHERN OREGON, LLC

Doing business as

Eye Care Group

Practice address

335 Caves Highway
Cave Junction, OR 97523

Phone

(541) 592-3921

Fax

(541) 592-4883

NPI assigned

Feb 13, 2007

Last updated

Jan 9, 2024By 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. Jeffrey S Pelson, OD

Title

Owner

Phone

(541) 592-3921

Specialties & licenses 1

Addresses

Other names 1

• Eye Care Group Doing business as

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eye Care Group of Southern Oregon, LLC

  dba Eye Care Group

  • Optometrist
  • Grants Pass, OR
  • NPI 1306988787

  4082629290

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Care Group of Southern Oregon, LLC

  dba Eye Care Group

  • Optometrist
  • Grants Pass, OR
  • NPI 1306988787

  O20060209000139

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Eye Care Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Care Group of Southern Oregon, LLC

  dba Eye Care Group

  • Optometrist
  • Grants Pass, OR
  • NPI 1306988787
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Franklin Adamek, OD

  • Optometrist
  • Eagle Point, OR
  • NPI 1568660199
  NPD
• Jason K Bates, OD

  • Optometrist
  • Ashland, OR
  • NPI 1407891401
  NPD
• Kiana Marie Lambert, OD

  • Optometrist
  • Grants Pass, OR
  • NPI 1124864095
  NPD
• Kenji Hamada, O.D.

  • Optometrist
  • Grants Pass, OR
  • NPI 1104910603
  NPD (past)
• Marlee Amanda Hauber, OD

  • Optometrist
  • Grants Pass, OR
  • NPI 1386578474
  NPD (past)
• Charles Richard Matti, O.D.

  • Optometrist
  • Grants Pass, OR
  • NPI 1720171432
  NPD (past)
• Matthew Scot Richardson, O.D.

  • Optometrist
  • Grants Pass, OR
  • NPI 1033211230
  NPD (past)
• Gregory Alan Christiansen, M.D.

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1831175629
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1386786309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 CAVES HIGHWAY",
            "address_2": "PO BOX 448",
            "city": "CAVE JUNCTION",
            "state": "OR",
            "postal_code": "97523",
            "telephone_number": "541-592-3921",
            "fax_number": "541-592-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 CAVES HIGHWAY",
            "city": "CAVE JUNCTION",
            "state": "OR",
            "postal_code": "97523",
            "telephone_number": "541-592-3921",
            "fax_number": "541-592-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE GROUP OF SOUTHERN OREGON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "PELSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-592-3921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elbert Campbell Collins, M.D.
• Tiffany M Crane, NP
• Donato and Wood Consulting (Riverside Physical Therapy)
• Lisa Ann Edwards, PPCNP-BC
• Elements of Health & Wellness, Inc.
• Joya H Feltzin, CNM FNP
• Jennifer Fogler, LMT
• Jennifer Jane Folkerts, LAC
• Samantha Gaffney, DMD
• Ronald D Gardner, PSYD

• Optometrist in Cave Junction, OR
• Providers in Cave Junction, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.