Richardson Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RICHARDSON EYECARE PC

Practice address

2804 19TH Ave
Forest Grove, OR 97116-2625

Phone

(503) 357-2020

Fax

(503) 357-6995

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Levi Richardson, ODNPI 1932839180

Title

President

Phone

(801) 836-5629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Levi Richardson, OD

  • Optometrist
  • Forest Grove, OR
  • NPI 1932839180
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1780305797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 19TH AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162625",
            "telephone_number": "503-357-2020",
            "fax_number": "503-357-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 19TH AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162625",
            "telephone_number": "503-357-2020",
            "fax_number": "503-357-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-836-5629",
        "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": []
}

• John Wilfred Randall, OD, MPH
• Raven Song Counseling
• Lee Ann Remington, O.D.
• Restore Massage Therapy, Inc
• Roger Reynolds, D.O.
• Brad C Richardson, O.D.
• Eli Richardson, O.D.
• Jessica Richardson, AU.D.
• Levi Richardson, OD
• Theresa Marie Richters, QMHP,LCSW

• Optometrist in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.