Medford Group Eyecare Incorporated

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MEDFORD GROUP EYECARE INCORPORATED

Doing business as

Group Eyecare

Practice address

1430 E McAndrews Rd
Medford, OR 97504-6170

Phone

(541) 772-7273

NPI assigned

Sep 15, 2019

Last updated

Feb 6, 2020By 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

Taylor Scott Oberly, ODNPI 1104368216

Title

President

Phone

(541) 773-7273

Specialties & licenses 1

Addresses

Other names 1

• Group Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

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.

• Taylor Scott Oberly, O.D.

  • Optometrist
  • Medford, OR
  • NPI 1104368216
  Medicare reassignment NPD Authorized official
• George Lam, O.D.

  • Optometrist
  • Medford, OR
  • NPI 1861495970
  NPD
• Benjamin Thomas Taylor, O.D.

  • Optometrist
  • Medford, OR
  • NPI 1790064921
  NPD

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1780234435",
    "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": "975046170",
            "telephone_number": "541-772-7273"
        },
        {
            "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": "975046170",
            "telephone_number": "541-772-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD GROUP EYECARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-15",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "OBERLY",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-773-7273",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Group Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medford Assisted Living LLC (The Orchards Assisted Living)
• Medford Dental Clinic, LLC
• Medford Ear Nose and Throat Clinic PC (Oregon Ear Nose and Throat Center)
• Medford Family Optical
• Medford Foot & Ankle Clinic, PC
• Medford Medical Clinic, LLP
• Medford Mobile Physical Therapy LLC
• Medford Neuro Clinic Inc
• Medford Nursing & Rehab Center LLC
• Medford of Cascadia, LLC

• 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 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.