Fickes LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4030ATI Issued in OR

Legal business name

FICKES LLC

Practice address

135 NE Terry LN
Grants Pass, OR 97526-4801

Phone

(541) 471-2070

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Tom D Fickes, OD

Title

MBR

Phone

(541) 471-2070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eva Fickes, O.D.

  • Optometrist
  • Grants Pass, OR
  • NPI 1669540050
  NPD (past)

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1821335977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 FOREST HILLS DR",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975379664",
            "telephone_number": "541-471-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NE TERRY LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975264801",
            "telephone_number": "541-471-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FICKES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "FICKES",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "541-471-2070",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4030ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefani Ferraiz
• Abigail Ferrari, PT, DPT
• Zachary Kent Ferrell, QMHA
• Roxanne Few, LMT
• Gabrielle Marie Fey, FNP
• Eva Fickes, O.D.
• Tom Fickes, O.D.
• Rhett Fieldsted
• Finding Center, LLC
• Ellen Joan Fineberg, PH.D.

• Optometrist in Grants Pass, OR
• Providers in Grants Pass, 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, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.