Ridge Eye Care Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RIDGE EYE CARE INC

Practice address

1700 Bruce Rd
Chico, CA 95928-7941

Phone

(530) 891-1900

Fax

(530) 895-1664

NPI assigned

Dec 7, 2010

Last updated

Sep 2, 2022By 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

Terri Gradine

Title

Chief Compliance Officer

Phone

(530) 924-0749

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Ridge Eye Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ridge Eye Care

  • Non-Pharmacy Dispensing Site
  • Paradise, CA
  • NPI 1194195883
  NPD tax ID
• Ridge Eye Care

  dba Northern Valley Eye Care

  • Non-Pharmacy Dispensing Site
  • Chico, CA
  • NPI 1386015014
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 26

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.

• Joel Isaac Barthelow, M.D.

  • Ophthalmology Physician
  • Chico, CA
  • NPI 1013974625
  Medicare reassignment Care Compare group NPD
• Geoffrey Peter Carlson, O.D.

  • Optometrist
  • Oroville, CA
  • NPI 1518968213
  Medicare reassignment Care Compare group NPD
• Dylan Franchi, OD

  • Optometrist
  • Chico, CA
  • NPI 1780350595
  Medicare reassignment Care Compare group NPD
• David Jeffery Gajda, M.D.

  • Ophthalmology Physician
  • Paradise, CA
  • NPI 1396839395
  Medicare reassignment Care Compare group NPD
• Bradley Hamar, OD

  • Optometrist
  • Yuba City, CA
  • NPI 1073090346
  Medicare reassignment Care Compare group NPD
• Justin C Holt

  • Optometrist
  • Anderson, CA
  • NPI 1588634521
  Medicare reassignment Care Compare group NPD
• Nikhail Ashok Kumar, OD

  • Optometrist
  • Redding, CA
  • NPI 1801785118
  Medicare reassignment Care Compare group NPD
• Joseph William Laya, O.D.

  • Low Vision Rehabilitation Optometrist
  • Redding, CA
  • NPI 1255307724
  Medicare reassignment Care Compare group NPD
• Douglas Laurence McGraw, D.O.

  • Ophthalmology Physician
  • Marysville, CA
  • NPI 1033430293
  Medicare reassignment Care Compare group NPD
• Jonathan Eric Mennucci, O.D.

  • Optometrist
  • Chico, CA
  • NPI 1871946525
  Medicare reassignment Care Compare group NPD
• Michael James Merry, OD

  • Optometrist
  • Chico, CA
  • NPI 1669725008
  Medicare reassignment Care Compare group NPD
• Craig Allan Montgomery, O.D.

  • Optometrist
  • Chico, CA
  • NPI 1265986392
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1699078030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BRUCE RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287941",
            "telephone_number": "530-891-1900",
            "fax_number": "530-895-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BRUCE RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287941",
            "telephone_number": "530-891-1900",
            "fax_number": "530-895-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "GRADINE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "530-924-0749"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwin Richter, RN
• Todd C Richter, PA-C
• Jacqueline Rico
• Bridget Gin Riddle
• Ridge Eye Care (Northern Valley Eye Care)
• Chloe Ridgley
• Jessica Colleeen Ridgley
• Katherine Riedlinger
• Vida Rieschner
• Catherine Lynn Riewer, MSW

• Ophthalmology Physician in Chico, CA
• Providers in Chico, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.